SHANKAR EZOM
NPI 1669191979
Case Manager/Care Coordinator in Fargo, ND

Active since August 22, 2022
7220 28TH ST S, FARGO, ND 58104(701) 630-9912 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2023, Jan 15, 2023, Nov 16, 2022 and 1 more (4 updates tracked since 2022).

About Shankar Ezom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANKAR EZOM (NPI 1669191979) is an individual case manager/care coordinator provider in Fargo, North Dakota and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1669191979
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSHANKAR EZOM
Location Address7220 28TH ST SFargo, ND 58104-4589
Mailing Address7220 28th St SFargo, ND 58104-4589 · (701) 630-9912
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1669191979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedPeer SpecialistTaxonomy 175T00000X
7220 28TH ST S, Fargo, ND 58104

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
7220 28TH ST S
FARGO, ND 58104
Case Manager/Care Coordinator
7220 28TH ST S
FARGO, ND 58104
Case Manager/Care Coordinator
7220 28TH ST S
FARGO, ND 58104
Community/Behavioral Health
7220 28TH ST S
FARGO, ND 58104
Peer Specialist
7220 28TH ST S
FARGO, ND 58104
Home Health
7220 28TH ST S
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shankar Ezom's NPI number?

The NPI number for Shankar Ezom is 1669191979. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Shankar Ezom located?

Shankar Ezom practices at 7220 28th St S, Fargo, ND 58104. The listed phone number is (701) 630-9912.

What is Shankar Ezom's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shankar Ezom was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.