Individual provider Active NPI

Kristen Getzlaff, BSN, RN

  • Registered Nurse
  • Bismarck, ND
National Provider Identifier
1801237821
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R33603 Issued in ND
Practice address
3100 Moonstone LN
Bismarck, ND 58503-6308
Phone
(701) 989-4354
Fax
(701) 425-0104
NPI assigned
Jul 8, 2013
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R33603 ND Primary

Addresses

Primary practice location

3100 Moonstone LN
Bismarck, ND 58503-6308

Mailing address

804 Tower PL
Mandan, ND 58554-3244
Phone (701) 989-4354

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R33603NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Life Wellness Clinic, PLLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

200 E Main Ave
Ste 204
Bismarck, ND 58501
Phone (701) 989-4351

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1801237821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 TOWER PL",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543244",
            "telephone_number": "701-989-4354",
            "fax_number": "701-425-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MOONSTONE LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036308",
            "telephone_number": "701-989-4354",
            "fax_number": "701-425-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETZLAFF",
        "first_name": "KRISTEN",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R33603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.