IndividualActive
Kassidy Bustamante
NPI 1588426639 · Nurse's Aide · Grand Forks, ND
Provider details
- NPI number
- 1588426639
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 138503 (ND)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
750 S 43rd St Apt 622
Grand Forks, ND 58201-3941
Phone: (701) 188-5136
Street-level locationGet directions
Mailing address
750 S 43rd St Apt 622
Grand Forks, ND 58201-3941
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.