Kristin Dvorsky

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Practice address

549 N Heatherstone Dr
Sun Prairie, WI 53590-4341

Phone

(608) 618-4637

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1275175952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N HEATHERSTONE DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904341",
            "telephone_number": "608-618-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 N HEATHERSTONE DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904341",
            "telephone_number": "608-618-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORSKY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Alan Drees, DC, CSCS
• Matthew Arthur Duehning
• Stacey Lynn Dulin, LPC
• Jolene Dutcher
• James H. Dvorak
• Mary Eldridge
• Nancy Ann Elliott, PH.D.
• Angela Engelmann, RDH
• Jamie Engstrom
• Eniyan & Co (MedicRide)

• Religious Nonmedical Practitioner in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Religious Nonmedical Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.