Individual provider Active NPI

Shatasha Bastian-Coleman, CNA

  • Nurse's Aide
  • Minot, ND
National Provider Identifier
1366239808
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
148954 Issued in ND
Practice address
2109 2ND Ave SW Apt 1
Minot, ND 58701-3456
Phone
(701) 340-1288
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 148954 ND Primary

Addresses

Primary practice location

2109 2ND Ave SW Apt 1
Minot, ND 58701-3456

Mailing address

2109 2ND Ave SW Apt 1
Minot, ND 58701-3456
Phone (701) 340-1288

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

LicenseStateTypeSpecialty
148954NDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366239808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 2ND AVE SW APT 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013456",
            "telephone_number": "701-340-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 2ND AVE SW APT 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013456",
            "telephone_number": "701-340-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN-COLEMAN",
        "first_name": "SHATASHA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ND",
            "license": "148954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.