Active NPI
Kristin Ann Kerwin, RN
- Registered Nurse
- Grayling, MI
National Provider Identifier
1154668705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704143013
- Practice address
- 204 Meadows Dr
Grayling, MI 49738-2013 - Phone
- (989) 348-0012
- Fax
- (989) 348-6434
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704143013 | MI | Primary |
Addresses
Primary practice location
204 Meadows Dr
Grayling, MI 49738-2013
Mailing address
6613 Forest Paark Trail
Gaylord, MI 49735
Phone (989) 348-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704143013 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1154668705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6613 FOREST PAARK TRAIL",
"city": "GAYLORD",
"state": "MI",
"postal_code": "49735",
"telephone_number": "989-348-0012",
"fax_number": "989-348-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MEADOWS DR",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497382013",
"telephone_number": "989-348-0012",
"fax_number": "989-348-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERWIN",
"first_name": "KRISTIN",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704143013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.