Kristen Ellen Andreae, RN, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

65.000112 Issued in OH

Practice address

105 W N College St
Yellow Springs
Yellow Springs, OH 45387-1500

Phone

(937) 479-0075

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kristen Ellen Manns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1114256716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W N COLLEGE ST",
            "address_2": "YELLOW SPRINGS",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871500",
            "telephone_number": "937-479-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W N COLLEGE ST",
            "address_2": "YELLOW SPRINGS",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871500",
            "telephone_number": "937-479-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREAE",
        "first_name": "KRISTEN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "RN, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.103571",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MANNS",
            "middle_name": "ELLEN",
            "prefix": "MRS.",
            "credential": "RN, L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Aldrich, LISW-S
• Megan Amburn
• Joyce L Appell, LPC
• Joshua Arthur, OTR/L
• Tiffany Rochelle Arvin, RDN, LDN
• Stefanie Atwater, LISW
• Emma Austing, RDN, LD

• Acupuncturist in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.