KELLY MAGRUM CNA
NPI 1427626415
Specialist in Williston, ND

Q: What is Kelly Magrum's NPI number?

The NPI number for Kelly Magrum is 1427626415. It was assigned to this individual provider in the NPPES registry on June 15, 2021. The provider is also known as Kelly Magrum Kelly Haga.

Q: What is Kelly Magrum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Magrum was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2021

309 WASHINGTON AVE, WILLISTON, ND 58801(701) 580-4801 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Jul 25, 2021, Jun 15, 2021 (3 updates tracked since 2021).

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About Kelly Magrum Cna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MAGRUM CNA (NPI 1427626415) is an individual specialist in Williston, North Dakota and active in the NPI registry since June 2021. She maintains a secondary practice location in Williston.

NPPES Registry Identity

NPI1427626415

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKELLY MAGRUMCredential: CNA

Location Address309 WASHINGTON AVEWilliston, ND 58801-5258

Mailing Address4909 Shelburne StBismarck, ND 58503-5605 · (701) 570-0482

Phone(701) 580-4801

Sole ProprietorNo

Enumeration DateJune 15, 2021

Last NPPES UpdateSeptember 9, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2021

✔ NPI 1427626415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedDriverTaxonomy 172A00000X

309 WASHINGTON AVE, Williston, ND 58801

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Other Names 1

Former Name (1)Kelly Magrum Kelly Haga

Secondary Practice Location 1

Location 1621 42nd St E Apt 1018Williston, ND 58801-6844 · Phone (701) 570-0482

Other Identifiers 1

Medicaid1482572ND

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIDE MIRAMONTES MIRAMONTES

Case Manager/Care Coordinator