Kristina Stewart, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P326390 Issued in MS

Practice address

2012 W 2ND St
#159
Long Beach, MS 39560-5553

Phone

(228) 206-7200

NPI assigned

Aug 8, 2012

Last updated

Aug 8, 2012By 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

State licenses

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1124375118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W SECOND ST",
            "address_2": "#159",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395605553",
            "telephone_number": "228-206-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W 2ND ST",
            "address_2": "#159",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395605553",
            "telephone_number": "228-206-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "P326390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Mississippi Regional Center
• South Mississippi Regional Center
• Southern Living Assistance Services
• John Stage
• Kevin Stage, LPN
• Jamie Rachael Taylor, MABC, PLCP
• David Price Tedford Jr., PHARMD
• The Healing Path, LLC
• Andrea Lyn Todd, PSY.D.
• Claire Jo Tuepker, LPC LMFT

• Licensed Practical Nurse in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.