Kristine Ann Erickson, OD, PHD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3996 Issued in MA

Practice address

77 Swanton St
Winchester, MA 01890-2039

Phone

(781) 729-3008

Fax

(781) 729-2402

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Doctor of Philosophy

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22427/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083703375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CENTRAL ST",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019831825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-3008",
            "fax_number": "781-729-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Escano, PHARMD
• Rochelle Bell Ettlinger, NURSE PRACTITIONER
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• Fairmount Emergency Physician Associates, LLC (Winchester Emergency Medical Associates)

• Optometrist in Winchester, MA
• Providers in Winchester, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.