Active NPI
Kristianne Carper, PA-C
- Psychiatry Physician
- Renfrew, PA
National Provider Identifier
1255827473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA059867
- Practice address
- 130 Critchlow School Rd
Renfrew, PA 16053-9437 - Phone
- (724) 316-4268
- NPI assigned
- Jul 11, 2018
- Last updated
- Feb 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA059867 | PA | Primary |
Addresses
Primary practice location
130 Critchlow School Rd
Renfrew, PA 16053-9437
Mailing address
130 Critchlow School Rd
Renfrew, PA 16053-9437
Phone (724) 316-4268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059867 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1255827473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CRITCHLOW SCHOOL RD",
"city": "RENFREW",
"state": "PA",
"postal_code": "160539437",
"telephone_number": "724-316-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CRITCHLOW SCHOOL RD",
"city": "RENFREW",
"state": "PA",
"postal_code": "160539437",
"telephone_number": "724-316-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPER",
"first_name": "KRISTIANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MA059867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renfrew, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.