Kristen Pelshaw

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704204107 Issued in MI

Practice address

750 Stephenson Hwy
Troy, MI 48083-1103

Phone

(248) 577-3520

Fax

(248) 577-3526

NPI assigned

Jan 22, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: kpelshaw9115@direct.beaumont.edu

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1285023689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831103",
            "telephone_number": "248-577-3520",
            "fax_number": "248-577-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSHAW",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704204107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpelshaw9115@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "750 Stephenson Hwy",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatric Locum Care PLC
• Pediatric Urology of Mi
• Ann S Pekarek, APRN,BC
• Dawn Louise Pelino, OTR, CHT
• Amanda Marie Pelletier, NP
• Jennifer Lynne Penaranda, CCC-SLP
• Megan Pennefather
• Anija Pennington
• Ann Elizabeth Peoples, RBT
• Ashleigh Peoples, MD

• Certified Registered Nurse Anesthetist in Troy, MI
• Providers in Troy, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.