Katie Wynstra

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1702 3Rd Ave NW Apt 4
Mandan, ND 58554-1843

Phone

(701) 425-9314

NPI assigned

Oct 31, 2020

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": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1417557075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 19TH ST SE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585545031",
            "telephone_number": "701-400-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 3RD AVE NW APT 4",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541843",
            "telephone_number": "701-425-9314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 2nd Ave NW Apt G4",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585542089",
            "country_code": "US",
            "telephone_number": "701-663-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 E Calgary Ave Unit 911",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585031214",
            "country_code": "US",
            "telephone_number": "701-751-0647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNSTRA",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2021-01-10",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Mandan, ND
• Providers in Mandan, ND by specialty
• Homemaker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.