Candace Anna Crow Ghost

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

216 N 14TH St
Bismarck, ND 58501-4624

Phone

(701) 204-2781

NPI assigned

May 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Savage LLC

  • Community Health Worker
  • Bismarck, ND
  • NPI 1770384380
  NPD Authorized official

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1619726882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N 14TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014624",
            "telephone_number": "701-204-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 14TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014624",
            "telephone_number": "701-204-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW GHOST",
        "first_name": "CANDACE",
        "middle_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Cross-Hillman, PSY.D.
• Kristine Cross
• Crosspoint Clinic
• Erna Crouse, LBSW
• Shanna Crouse
• Myron Jacob Cullen, ATC
• Megan Cullinane, OTD, OTR/L
• Chardonnay Cunningham
• Courtney Cunningham
• Julia Cunningham, DPT

• Health & Wellness Coach in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Health & Wellness Coach in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.