Active NPI
Kristyn D Milburn, ARNP
- Nurse Practitioner
- Pleasanton, KS
National Provider Identifier
1275860876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 74956
- Practice address
- 11155 Tucker Rd
Pleasanton, KS 66075-8401 - Phone
- (913) 352-8379
- Fax
- (913) 352-8998
- NPI assigned
- Nov 3, 2009
- Last updated
- Jan 16, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 74956 | KS | Primary |
Addresses
Primary practice location
11155 Tucker Rd
Pleasanton, KS 66075-8401
Mailing address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74956 | KS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1275860876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 N MICHIGAN ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622546",
"telephone_number": "620-231-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 TUCKER RD",
"city": "PLEASANTON",
"state": "KS",
"postal_code": "660758401",
"telephone_number": "913-352-8379",
"fax_number": "913-352-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURN",
"first_name": "KRISTYN",
"middle_name": "D",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "74956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.