Crystal Marie Selburg

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3936 Bia Road 12
Belcourt, ND 58316-3834

Phone

(701) 244-5328

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1386398634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583161248",
            "telephone_number": "701-953-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 BIA ROAD 12",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583163834",
            "telephone_number": "701-244-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBURG",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April R Roussin, RN
• Terry James Schleisman, OD
• Marlene Marie Schroeder
• Madison Scott
• Jordan Seals
• Jacqueline M Selburg
• Serenity Path Hospice Care, PLLC
• Mos Sher, MD
• Curtis Ivan Silvis, PHARMD
• Cheryll N. Simmons, DNP, FNP-BC, MPH

• Personal Care Attendant in Belcourt, ND
• Providers in Belcourt, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.