Arin Kritzmire-Forman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003252 Issued in CA

Practice address

2895 Temple Ave
Signal Hill, CA 90755-2212

Phone

(562) 426-7500

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By 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

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aim Healthcare Providers Mt, PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1851107312

  MT

  Medicare reassignment NPD
• Aim Healthcare Providers Mt, PLLC

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1063356012
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1174985527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 TEMPLE AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 TEMPLE AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZMIRE-FORMAN",
        "first_name": "ARIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Kim, LCSW
• Robert Thomas Kirk, O.D.
• Caroline Marie Kiss-Lee, MSW, ASW
• Seila Ko, O.D.
• Joshua Kotani
• Linda Mai Lai
• Amy Elizabeth Lappen, PH.D.
• Larnperri Inc (Advancecare Pharmacy)
• Lucia Lebron
• Tricia Levert

• Family Nurse Practitioner in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.