Mashkiki Wellness LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MASHKIKI WELLNESS LLC

Practice address

4489 Highway 281
Belcourt, ND 58316

Phone

(701) 421-8715

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kristy Lee Zaste

Title

Owner/Ceo

Phone

(701) 421-8715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1497503395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583161945",
            "telephone_number": "701-421-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 HIGHWAY 281",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "58316",
            "telephone_number": "701-421-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHKIKI WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "ZASTE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "701-421-8715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta J Marcellais, LPN
• Shanon R Marion, RN
• Barbara A Martell, LPN
• Anthony James Martin
• Crystal V Martin, RN
• Emily Jo McCloud
• Leah Jean Miller, RPH
• Alaina L Minyard
• Kelly Marie Mitchell
• Rachel Marie Modrow

• Community Health Worker in Belcourt, ND
• Providers in Belcourt, ND by specialty
• Community Health Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.