Healthcare Provider Details

I. General information

NPI: 1699698142
Provider Name (Legal Business Name): MELISSA RYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 1ST AVE SW
MINOT ND
58701-3424
US

IV. Provider business mailing address

1929 1ST AVE SW
MINOT ND
58701-3424
US

V. Phone/Fax

Practice location:
  • Phone: 701-578-0082
  • Fax: 701-578-0082
Mailing address:
  • Phone: 701-578-0082
  • Fax: 701-578-0082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: