Organization Active NPI

Kristi Kennen Inc

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1053478768
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I1450 Issued in NM
Legal business name
KRISTI KENNEN INC
Practice address
1482B St Francis Dr
St Francis Prof Blvd
Santa Fe, NM 87505
Phone
(505) 830-1441
Fax
(505) 883-8335
NPI assigned
Jan 2, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Ms. Kristi Lynn Kennen, LISW
Title
President
Phone
(505) 983-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I1450 NM Primary

Addresses

Primary practice location

1482B St Francis Dr
St Francis Prof Blvd
Santa Fe, NM 87505

Mailing address

1482B St Francis Dr
St Francis Prof Blvd
Santa Fe, NM 87505
Phone (505) 830-1441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1053478768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482B ST FRANCIS DR",
            "address_2": "ST FRANCIS PROF BLVD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-830-1441",
            "fax_number": "505-883-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482B ST FRANCIS DR",
            "address_2": "ST FRANCIS PROF BLVD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-830-1441",
            "fax_number": "505-883-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI KENNEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "KENNEN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-983-3676",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.