Individual provider Active NPI

Samantha Jean Kost

  • Personal Care Attendant
  • Beulah, ND
National Provider Identifier
1104514850
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
404 3Rd Ave SW
Beulah, ND 58523-6715
Phone
(701) 880-1493
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X ND Primary

Addresses

NPPES NPI Registry

Primary practice location

404 3Rd Ave SW
Beulah, ND 58523-6715

Mailing address

404 3Rd Ave SW
Beulah, ND 58523-6715
Phone (701) 880-1493

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2023.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1104514850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 3RD AVE SW",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "585236715",
            "telephone_number": "701-880-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 3RD AVE SW",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "585236715",
            "telephone_number": "701-880-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOST",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beulah, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.