Active NPI
Andrea Kistner, NP-C
- Family Nurse Practitioner
- Oregon, OH
National Provider Identifier
1154847317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.021562
- Practice address
- 2600 Navarre Ave
Oregon, OH 43616-3207 - Phone
- (419) 696-7493
- NPI assigned
- Aug 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.021562 | OH | Primary |
Addresses
Primary practice location
2600 Navarre Ave
Oregon, OH 43616-3207
Mailing address
827 Regina Pkwy
Toledo, OH 43612-3331
Phone (419) 308-0071
Other names 1
- Andrea Ansted
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.021562 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503100800000",
"number": "1154847317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 REGINA PKWY",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436123331",
"telephone_number": "419-308-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NAVARRE AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163207",
"telephone_number": "419-696-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTNER",
"first_name": "ANDREA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-19",
"last_updated": "2017-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.021562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "ANSTED",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.