Individual provider Active NPI

Kristina Wood Naseman, PHARM.D., MPH, CDE

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Lexington, KY
National Provider Identifier
1104121755
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
019937 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Phone
(859) 323-8697
Fax
(859) 257-1078
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03230479 OH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 019937 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504

Mailing address

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
019937KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03230479OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1104121755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043504",
            "telephone_number": "859-323-8697",
            "fax_number": "859-257-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASEMAN",
        "first_name": "KRISTINA",
        "middle_name": "WOOD",
        "credential": "PHARM.D., MPH, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03230479",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "019937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.