Kristin Anne Juelson, MS, FNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341605 Issued in NY

Practice address

308 W 103Rd St Apt 5C
New York, NY 10025-4462

Phone

(626) 808-3691

NPI assigned

Jun 27, 2016

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)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1255782702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LEONARD ST",
            "address_2": "5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133420",
            "telephone_number": "626-808-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 103RD ST APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254462",
            "telephone_number": "626-808-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUELSON",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "credential": "MS, FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Lapsley Judson, M.D.
• Kara Judson, M.D.
• Randy Judson, AU.D.
• Judy Ting Mandel, LCSW PLLC
• Kenneth W.M. Judy, DDS
• Lia Emmanuelle Jueng
• Stephan Michael Juergensen, M.D.
• Tilahun Jiru Jufara, M.D.
• Tonya A Juge, PT
• John H Juhl, D.O.

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.