Individual provider Active NPI

Kristina T Carr, APRN

  • Adult Health Nurse Practitioner
  • Keene, NH
National Provider Identifier
1265455976
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
083236-23 Issued in NH
Practice address
590 Court St
Keene, NH 03431-1719
Phone
(603) 354-6534
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 900237 NC
Adult Health Nurse Practitioner 363LA2200X 083236-23 NH Primary

Addresses

Primary practice location

590 Court St
Keene, NH 03431-1719

Mailing address

590 Court St
Keene, NH 03431-1719
Phone (603) 354-6534

Other practice location 1

35 Industrial Way Ste 11B
Rochester, NH 03867-6202
Phone (603) 321-0084

Other practice location 2

814 Elm St Ste 313
Manchester, NH 03101-2130
Phone (603) 321-0084

Other identifiers 3

IdentifierTypeStateIssuer
3127621MedicaidNH
7000224MedicaidNC
D7719OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002454 NH Practitioner - Nurse Practitioner 9537135603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Addiction Wellness Center NH LLCGroup PAC ID 0941735963, 7 clinicians

Practice addresses (Care Compare)

814 Elm St
Suite 313
Manchester, NH 03101-2130
Phone (603) 321-0084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900237NCMDAdult Health Nurse Practitioner
083236-23NHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince May 1, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince May 1, 2021 Accepting new patients
Cheshire Medical Center Current Accepting new patients
Addiction Wellness Center NH LLC Adult Health CurrentSince Oct 4, 2025 Accepting new patients
Cheshire Medical Center CurrentSince May 1, 2021 Accepting new patients
North Carolina Radiation Oncology Affiliates PA Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

1100 Business Pkwy S
Ste 1
Westminster, MD 21157

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

814 Elm St
Ste 313
Manchester, NH 03101
Phone (603) 321-0084

35 Industrial Way
Ste 11B
Rochester, NH 03867
Phone (603) 321-0084

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1265455976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Industrial Way Ste 11B",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038676202",
            "country_code": "US",
            "telephone_number": "603-321-0084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 Elm St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012130",
            "country_code": "US",
            "telephone_number": "603-321-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "KRISTINA",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900237",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "083236-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127621",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000224",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D7719",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.