Dianna Elkenbaum Kristeller, CNM, DNP, APRN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1319 Issued in AK

Practice address

700 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Phone

(907) 543-6000

NPI assigned

Jul 26, 2012

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Dianna Elkenbaum Kristeller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1003162181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591275",
            "telephone_number": "907-545-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHIEF EDDIE HOFFMAN HWY",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTELLER",
        "first_name": "DIANNA",
        "middle_name": "ELKENBAUM",
        "name_prefix": "Dr.",
        "credential": "CNM, DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AK",
            "license": "1319",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "KRISTELLER",
            "middle_name": "ELKENBAUM",
            "prefix": "MRS.",
            "credential": "CNM, DNP, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daisy Konst
• Rachel Konteh
• Anne Kosacheff, PT, WCC
• Leeanna M Kozevnikoff
• Katy Krings, RN
• Kaitlin Kristovich
• Jackie Kudrin
• Jewel Kupanoak
• Douglas Chales Kylook I
• Crystal Lake

• Advanced Practice Midwife in Bethel, AK
• Providers in Bethel, AK by specialty
• Advanced Practice Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.