Kristen Draskovic, LCSW, RN, RDN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11601167-3501 Issued in UT

Practice address

4590 Harrison Blvd Ste 200B
Ogden, UT 84403-3350

Phone

(701) 866-2612

NPI assigned

Oct 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristendraskovic@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1083966519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BUCHANAN AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844010913",
            "telephone_number": "701-866-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 HARRISON BLVD STE 200B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033350",
            "telephone_number": "701-866-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRASKOVIC",
        "first_name": "KRISTEN",
        "credential": "LCSW, RN, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2022-07-26",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11601167-3102",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11601167-3501",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Kim Graf, PC
• Dr. Matthew Miller, DDS
• Tim Drake, PHARMD
• Elise Maurine Draper
• Mary Ford Draper, D.D.S.
• Terri Ann Drca, TCM
• Terri L Droghei, LMT
• Brooke Richards Drollinger, MD
• Rialy Duersch
• Duke Family & Wellness

• Clinical Social Worker in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.