Active NPI
Krystine Reardon, RN
- Registered Nurse
- Nashua, NH
National Provider Identifier
1265198428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 085547-21
- Practice address
- 116 Spit Brook Rd
Nashua, NH 03062-2711 - Phone
- (603) 891-0083
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 085547-21 | NH | Primary |
Addresses
Primary practice location
116 Spit Brook Rd
Nashua, NH 03062-2711
Mailing address
7 Saint James PL Apt 720
Nashua, NH 03062-4611
Phone (339) 927-2101
Other practice location 1
30 Hunter Ln
Camp Hill, PA 17011-2400
Phone (800) 748-3243
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085547-21 | NH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical Partners Inc | Current | Accepting new patients | |
| Foundation Medical Partners Inc. | Past | Accepting new patients |
Locations
116 Spit Brook Rd
Nashua, NH 03062
Phone (603) 888-5573
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1033162037
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1265198428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SAINT JAMES PL APT 720",
"city": "NASHUA",
"state": "NH",
"postal_code": "030624611",
"telephone_number": "339-927-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SPIT BROOK RD",
"city": "NASHUA",
"state": "NH",
"postal_code": "030622711",
"telephone_number": "603-891-0083"
}
],
"practiceLocations": [
{
"address_1": "30 Hunter Ln",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112400",
"country_code": "US",
"telephone_number": "800-748-3243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REARDON",
"first_name": "KRYSTINE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NH",
"license": "085547-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.