Individual provider Active NPI

Kristin Lundsten, DNP, MSN, PMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Providence, RI
National Provider Identifier
1104377365
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN02640 Issued in RI
Practice address
2761 Pawtucket Ave
East Providence, RI 02914-3389
Phone
(401) 400-5861
Fax
(401) 400-5862
NPI assigned
Oct 21, 2016
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN02640 RI Primary
Registered Nurse 163W00000X RN36091 RI

Addresses

Primary practice location

2761 Pawtucket Ave
East Providence, RI 02914-3389

Mailing address

691 Fall River Ave
Seekonk, MA 02771-5646
Phone (508) 635-1337

Other practice location 1

197 Warren Ave Ste 202
East Providence, RI 02914-4826
Phone (508) 635-1337

Other practice location 2

1822 N Main St Ste 203
Fall River, MA 02720-1350
Phone (508) 635-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211027002618 RI Practitioner - Nurse Practitioner 8426446204 Reassigns benefits to 2 organizations
I20231211003462 MA Practitioner - Nurse Practitioner 8426446204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations for Wellness, IncGroup PAC ID 5698122059, 6 clinicians

Practice addresses (Care Compare)

197 Warren Ave
Suite 202
East Providence, RI 02914-4826
Phone (508) 635-1337

691 Fall River Ave
Seekonk, MA 02771-5646
Phone (508) 635-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations for Wellness, Inc Psychiatric/Mental Health CurrentSince Sep 16, 2023 Accepting new patients
New Perspective Psychiatry and Counseling, LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Dr Michael C Souza, Inc PastSince Jun 29, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. PastSince Jul 24, 2021 Accepting new patients

Locations

1822 N Main St
Fall River, MA 02720
Phone (508) 635-1337

1822 N Main St
Ste 203
Fall River, MA 02720
Phone (508) 635-1337

691 Fall River Ave
Seekonk, MA 02771
Phone (508) 635-1337

197 Warren Ave
Ste 202
East Providence, RI 02914
Phone (508) 635-1331

2761 Pawtucket Ave
East Providence, RI 02914
Phone (401) 321-2430

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1104377365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715646",
            "telephone_number": "508-635-1337",
            "fax_number": "781-795-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143389",
            "telephone_number": "401-400-5861",
            "fax_number": "401-400-5862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Warren Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029144826",
            "country_code": "US",
            "telephone_number": "508-635-1337",
            "fax_number": "781-795-9556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1822 N Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027201350",
            "country_code": "US",
            "telephone_number": "508-635-1337",
            "fax_number": "781-795-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDSTEN",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN,  PMNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02640",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN36091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.