Active NPI
Kristi Anne Sandford, REGISTERED NURSE
- Home Health Registered Nurse
- Blaine, MN
National Provider Identifier
1013522820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R1243057
- Practice address
- 10307 University Ave NE
Blaine, MN 55434-8026 - Phone
- (763) 786-3439
- Fax
- (763) 783-3528
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R1243057 | MN | Primary |
Addresses
Primary practice location
10307 University Ave NE
Blaine, MN 55434-8026
Mailing address
10307 University Ave NE
Blaine, MN 55434-8026
Phone (763) 786-3439
Other names 1
- Kristi Anne Teske
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lifescompanion@comcast.net | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1243057 | MN | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life'S Companion P.C.a., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Blaine, MN
- NPI 1487939138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1013522820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10307 UNIVERSITY AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554348026",
"telephone_number": "763-786-3439",
"fax_number": "763-783-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10307 UNIVERSITY AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554348026",
"telephone_number": "763-786-3439",
"fax_number": "763-783-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDFORD",
"first_name": "KRISTI",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "R1243057",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lifescompanion@comcast.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "lifescompanion@comcast.net",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "lifescompanion@comcast.net",
"address_1": "10307 University Ave NE",
"city": "Blaine",
"state": "MN",
"country_code": "US",
"postal_code": "554348026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTI",
"last_name": "TESKE",
"middle_name": "ANNE",
"credential": "REGISTERED NURSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.