Active NPI
Kristin E-M Head, MD
- Obstetrics & Gynecology Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 073366
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0001 - Phone
- (860) 679-2000
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 73366 | CT | |
| Obstetrics & Gynecology Physician | 207V00000X | 073366 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0001
Mailing address
263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-2000
Other practice location 1
9195 Grant St
Ste 410
Thornton, CO 80229-4388
Phone (303) 280-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59736712 | Medicaid | CO |
Other names 1
- Dr. Kristin E-M Kiesling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (864) 908-3530
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073366 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Obhg Connecticut PC | Obstetrics & Gynecology | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Women'S Health Surgery Center, LLC | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
100 Grand St
Fl 1
New Britain, CT 06052
Phone (860) 224-5011
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4
Organizations & group practices 6
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.
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Obstetrics & Gynecology
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Ambulatory Surgical Clinic/Center
- Thornton, CO
- NPI 1740638956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1245405752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308082",
"telephone_number": "860-679-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-2000"
}
],
"practiceLocations": [
{
"address_1": "9195 GRANT ST",
"address_2": "STE 410",
"address_purpose": "LOCATION",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294388",
"country_code": "US",
"telephone_number": "303-280-2229",
"fax_number": "303-991-1721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEAD",
"first_name": "KRISTIN",
"middle_name": "E-M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "73366",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "073366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59736712",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "KIESLING",
"middle_name": "E-M",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.