Kathleen Marie Kristopik, RNC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN29402 Issued in RI

Practice address

530 N Main St
Providence, RI 02904-5762

Phone

(401) 276-6175

Fax

(401) 276-4124

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kathleen Marie Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkristopik@direct.carene.org

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.

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662
  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245200195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 URSULA DR",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028094352",
            "telephone_number": "401-253-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045762",
            "telephone_number": "401-276-6175",
            "fax_number": "401-276-4124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Old Country Rd",
            "address_2": "East Bay Mental Health Center",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "02806",
            "country_code": "US",
            "telephone_number": "401-246-1195",
            "fax_number": "401-246-1985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISTOPIK",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN29402",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "162260",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN29402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KK12537",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FOX",
            "middle_name": "MARIE",
            "credential": "RN,C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Amy Kremsdorf, MD
• Philip Matthias Kretschmer
• Gennadiy Krichevskiy, MT
• Aliza Yudit Krieger, PHD
• Sydney Feinstein Kriegsman, MD
• Betsy A Krugliak, PSY.D.
• Maryann Krull, ADN, RN
• Elizabeth A Krupowies, LMHC
• Andreas Olof Kruse, MD
• Alyssa Krysko, AUD

• Registered Nurse in Providence, RI
• Providers in Providence, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.