Individual provider Active NPI

Kristin Turine Seaks, LSW

  • Social Worker
  • Dickinson, ND
National Provider Identifier
1508087040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2950 Issued in ND
Practice address
135 Sims St
Suite 204
Dickinson, ND 58601-5148
Phone
(701) 225-3310
Fax
(701) 225-2208
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2950 ND Primary

Addresses

Primary practice location

135 Sims St
Suite 204
Dickinson, ND 58601-5148

Mailing address

135 Sims St
Suite 204
Dickinson, ND 58601-5148
Phone (701) 225-3310

Other names 1

  • Ms. Kristin Turine Mikkelson Former name

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
2950NDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508087040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SIMS ST",
            "address_2": "SUITE 204",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015148",
            "telephone_number": "701-225-3310",
            "fax_number": "701-225-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SIMS ST",
            "address_2": "SUITE 204",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015148",
            "telephone_number": "701-225-3310",
            "fax_number": "701-225-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAKS",
        "first_name": "KRISTIN",
        "middle_name": "TURINE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "2950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MIKKELSON",
            "middle_name": "TURINE",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.