Individual provider Active NPI

Kristy G. Westrom, RN, PHN

  • Registered Nurse
  • Bismarck, ND
National Provider Identifier
1003489139
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R48601 Issued in ND
Practice address
513 E Bismarck Expy Ste 8
Bismarck, ND 58504-6577
Phone
(701) 355-0603
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R48601 ND Primary
Registered Nurse 163W00000X 1742561 MN

Addresses

Primary practice location

513 E Bismarck Expy Ste 8
Bismarck, ND 58504-6577

Mailing address

5605 47TH Ave S
Fargo, ND 58104-6074
Phone (612) 462-2382

Other identifiers 1

IdentifierTypeStateIssuer
87-1368008MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1742561MNMDRegistered Nurse
R48601NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Care, LLC CurrentSince Aug 28, 2021 Accepting new patients

Locations

513 E Bismarck Expy
Ste 8
Bismarck, ND 58504
Phone (701) 355-0603

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1003489139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 47TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046074",
            "telephone_number": "612-462-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E BISMARCK EXPY STE 8",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046577",
            "telephone_number": "701-355-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTROM",
        "first_name": "KRISTY",
        "middle_name": "G.",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R48601",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1742561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-1368008",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.