Individual provider Active NPI

Natalie Malsom

  • Registered Nurse
  • Jamestown, ND
National Provider Identifier
1396356853
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R49072 Issued in ND
Practice address
701 3Rd St NW
Jamestown, ND 58401-2963
Phone
(701) 368-1982
NPI assigned
Aug 10, 2020
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 R49072 ND Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

701 3Rd St NW
Jamestown, ND 58401-2963

Mailing address

1200 Collins Ave
Mandan, ND 58554-2066
Phone (701) 663-5373

Other practice location 1

1200 Collins Ave
Mandan, ND 58554-2066
Phone (701) 663-5373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717002301 ND Practitioner - Occupational Therapist in Private Practice 2163967894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023NDMDAddiction (Substance Use Disorder) Counselor
R49072NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Occupational Therapist CurrentSince Jun 1, 2024 Accepting new patients
Dakota Home Care, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1396356853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COLLINS AVE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585542066",
            "telephone_number": "701-663-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963",
            "telephone_number": "701-368-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Collins Ave",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585542066",
            "country_code": "US",
            "telephone_number": "701-663-5373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALSOM",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R49072",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.