Kristen E Bree, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002279A Issued in IN

Practice address

420 W 4TH St
Mishawaka, IN 46544-1948

Phone

(574) 307-7673

NPI assigned

Nov 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942

  IN

  Medicare reassignment NPD
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD
• Lifespring Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1568907673
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1164591830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 HOLLYWOOD PL",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466162113",
            "telephone_number": "574-855-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 4TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441948",
            "telephone_number": "574-307-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREE",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002279A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "28170707A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "71002279A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia G Boynton, LICENSED DIETICIAN N
• Lawrence C Boynton, CFA
• Jacqueline Brady
• Sarah Brady, MS
• Lois Marie Brandon, FNP
• Michael T. Brendle, M.D.
• Matthew Steele Brennan, D.D.S.
• James Marshall Brent II, MD
• Chloe Kathleen Brewer
• Brian D Eberhart DDS PC

• All providers in Mishawaka, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.