Kassandra Kryston Wiseley, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

2498809 Issued in MN

Practice address

640 Jackson St
Saint Paul, MN 55101-2502

Phone

(320) 282-4326

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1033819891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CENTURY CIR APT 301",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252196",
            "telephone_number": "320-282-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "320-282-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISELEY",
        "first_name": "KASSANDRA",
        "middle_name": "KRYSTON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MN",
            "license": "2498809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Jennifer Wippler, MD, MPH
• Christine Wirnkar Kila
• Chelsey Bae Wirtz, LPCC
• Jason John Wirtz, MD
• Wise Spring Mental Health PLLC
• Jennifer Wiseman, MPS, LADC
• Scott Michael Wisgerhof, LPCC
• Danielle Wissink
• Heidi Park Wiste, LICSW
• Madison Rose Witschen, MA, LPCC, LADC

• Emergency Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Emergency Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.