Active NPI
Kristen Volkman, MD
- Pediatric Allergy/Immunology Physician
- Kenosha, WI
National Provider Identifier
1013920297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 45761
- Practice address
- 8500 75TH St
Suite 101
Kenosha, WI 53142-8213 - Phone
- (262) 653-2260
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 45761 | WI | Primary |
Addresses
Primary practice location
8500 75TH St
Suite 101
Kenosha, WI 53142-8213
Mailing address
8500 75TH St
Suite 101
Kenosha, WI 53142-8213
Phone (262) 653-2260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013920297 | Medicaid | WI | |
| 391264986 | Other | WI | TAX ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45761 | WI | MD | Pediatric Allergy/Immunology Physician |
Interoperability endpoints
- kvolkman5885@direct.chw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1013920297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 75TH ST",
"address_2": "SUITE 101",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428213",
"telephone_number": "262-653-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 75TH ST",
"address_2": "SUITE 101",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531428213",
"telephone_number": "262-653-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLKMAN",
"first_name": "KRISTEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "WI",
"license": "45761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013920297",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "391264986",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.