Individual provider Active NPI

Kristie Kalkhof, MSED

  • Specialist
  • Hauppauge, NY
National Provider Identifier
1043634470
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2155875 Issued in NY
Practice address
386 Hoffman LN
Hauppauge, NY 11788-3108
Phone
(516) 356-8524
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2155875 NY Primary

Addresses

Primary practice location

386 Hoffman LN
Hauppauge, NY 11788-3108

Mailing address

386 Hoffman LN
Hauppauge, NY 11788-3108
Phone (516) 356-8524

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

LicenseStateTypeSpecialty
2155875NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1043634470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 HOFFMAN LN",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883108",
            "telephone_number": "516-356-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 HOFFMAN LN",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883108",
            "telephone_number": "516-356-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKHOF",
        "first_name": "KRISTIE",
        "name_prefix": "Miss",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2155875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.