Kristina N Puente

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317480-31 Issued in WI

Practice address

10825 W Green Ave
Hales Corners, WI 53130-1927

Phone

(414) 324-3220

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1144035551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 W GREEN AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301927",
            "telephone_number": "414-324-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 W GREEN AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301927",
            "telephone_number": "414-324-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "KRISTINA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "317480-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Pierson, PT, DPT
• Bridget Price
• Madeline Rae Prokash, BCBA
• Heidi Anne Fenske Przislicki, OD
• PT at Home, LLC
• Treva Erin Rademaker, DC
• Erin Rebecca Rafalow, NP
• Thomas Raimann, DDS
• Maria Ramos, D.D.S.
• Jacqueline Randa

• Licensed Practical Nurse in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.