Kristin D Doede, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10851-33 Issued in WI

Practice address

6303 Schofield Ave
Weston, WI 54476-4352

Phone

(715) 393-4092

Fax

(866) 885-5412

NPI assigned

Feb 3, 2021

Last updated

Oct 18, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.doede@509707017715716.direct.elationemr.com

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.

• Astia Health Clinical Services, SC

  • Family Medicine Physician
  • Weston, WI
  • NPI 1578439550
  NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1194316968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036640",
            "telephone_number": "715-301-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 SCHOFIELD AVE",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764352",
            "telephone_number": "715-393-4092",
            "fax_number": "866-885-5412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Westhill Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014710",
            "country_code": "US",
            "telephone_number": "888-847-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOEDE",
        "first_name": "KRISTIN",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "162001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10851-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic & Treatment Center, LLC
• Diagnostic & Treatment Center, LLC
• Diaspora Radiology, SC (Smart Scan Medical Imaging Wausau)
• Lisa Dickas
• Martin S. Digler, PA
• Thomas P Doering, DO
• Michael J Dombrowski, PA
• Dr. David Macintyre Consulting, LLC
• Reva R Draeger, D.C.
• Eric E Drewek, PT

• Family Nurse Practitioner in Weston, WI
• Providers in Weston, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.