Kristin Elizabeth, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

160391 Issued in AK

Practice address

1223 Mill Bay Rd Apt B105
Kodiak, AK 99615-6435

Phone

(907) 654-9257

NPI assigned

May 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1225602121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 MILL BAY RD APT B105",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156435",
            "telephone_number": "907-654-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MILL BAY RD APT B105",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156435",
            "telephone_number": "907-654-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZABETH",
        "first_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "160391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Dorman
• Linda Irene Dunlap, MT
• Tasha Dunlap
• Maricruz Yanelly Duran Rodriquez
• Leisa Eastman, RN
• Judith M. Eller, R.N.
• Ann Ellingson
• Stasia Ellis
• Joyce Lynn Elvehjem
• Regan Enlow-Moir, RDH

• Registered Nurse in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.