Kristin Elizabeth Zickafoose, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

33403 Issued in WV

Practice address

12424 Backus MTN
Meadow Bridge, WV 25976-5680

Phone

(304) 661-7433

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By 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

Other names 1

• Kristin Sanford Former name

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1134988926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 BACKUS MTN",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259765680",
            "telephone_number": "304-661-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BACKUS MTN",
            "city": "MEADOW BRIDGE",
            "state": "WV",
            "postal_code": "259765680",
            "telephone_number": "304-661-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKAFOOSE",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "33403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SANFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessie Twohig
• Melissa Ann Vermillion, LPN
• Samantha Lynn Williams
• Karen Elizabeth Wood, FNP-BC
• Stephanie Yates

• Licensed Practical Nurse in Meadow Bridge, WV
• Providers in Meadow Bridge, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.