Individual provider Active NPI

Christian Juniper, CHRISTIAN

  • Nurse's Aide
  • Fargo, ND
National Provider Identifier
1730077090
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
82436 Issued in ND
Practice address
3420 42ND St S Apt 106a
Fargo, ND 58104-6968
Phone
(701) 219-3187
NPI assigned
Jun 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 82436 ND Primary

Addresses

Primary practice location

3420 42ND St S Apt 106a
Fargo, ND 58104-6968

Mailing address

3420 42ND St S Apt 106a
Fargo, ND 58104-6968
Phone (701) 219-3187

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
82436NDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1730077090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 42ND ST S APT 106A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046968",
            "telephone_number": "701-219-3187",
            "fax_number": "701-219-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 42ND ST S APT 106A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046968",
            "telephone_number": "701-219-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNIPER",
        "first_name": "CHRISTIAN",
        "credential": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ND",
            "license": "82436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.