Individual provider Active NPI

Krystal Dawn Kindelin

  • Personal Care Attendant
  • Mandan, ND
National Provider Identifier
1891589602
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
207PH0002X Issued in ND
Practice address
4250 McKenzie Dr SE Apt 208
Mandan, ND 58554-6241
Phone
(701) 415-9834
NPI assigned
Apr 7, 2025
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 207PH0002X ND Primary

Addresses

Primary practice location

4250 McKenzie Dr SE Apt 208
Mandan, ND 58554-6241

Mailing address

4250 McKenzie Dr SE Apt 208
Mandan, ND 58554-6241
Phone (701) 415-9834

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
207PH0002XNDMDHospice and Palliative Medicine (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1891589602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 MCKENZIE DR SE APT 208",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585546241",
            "telephone_number": "701-415-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 MCKENZIE DR SE APT 208",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585546241",
            "telephone_number": "701-415-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDELIN",
        "first_name": "KRYSTAL",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "207PH0002X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.