Kristine C Disibio, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010742 Issued in KY

Practice address

11745 Madison Pike
Independence, KY 41051-8637

Phone

(859) 356-3941

Fax

(859) 356-0338

NPI assigned

Oct 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Nies Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Independence, KY
  • NPI 1912070525
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1003366816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745 MADISON PIKE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410518637",
            "telephone_number": "859-356-3941",
            "fax_number": "859-356-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 MADISON PIKE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410518637",
            "telephone_number": "859-356-3941",
            "fax_number": "859-356-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIBIO",
        "first_name": "KRISTINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesli Dauenbaugh, LMT
• Kimberly Anne Davis-Hawke, LPN
• Julia Jenkins Dawson, DMD
• Lezlee Delaney, LPN NURSE
• Kathleen Dietrich, PHARMD
• Jama Britt Dorsey
• Drug Shoppe Inc.
• Natalie Dunaway, PT, DPT
• Samantha Duncan, ATC
• Kayla Eiben, DPT

• Family Nurse Practitioner in Independence, KY
• Providers in Independence, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.