Active NPI
Kristen Kaiser, LMSW
- Social Worker
- Jamestown, ND
National Provider Identifier
1043501190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4561
- Practice address
- 300 2ND Ave NE Ste 202
Jamestown, ND 58401-3373 - Phone
- (701) 251-9150
- NPI assigned
- Apr 25, 2011
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4561 | ND | Primary |
Addresses
Primary practice location
300 2ND Ave NE Ste 202
Jamestown, ND 58401-3373
Mailing address
1202 Westrac Dr S
Fargo, ND 58103-2338
Phone (701) 280-9545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4561 | ND | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1043501190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 WESTRAC DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032338",
"telephone_number": "701-280-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 2ND AVE NE STE 202",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013373",
"telephone_number": "701-251-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "KRISTEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2020-11-06",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "4561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.