Organization Active NPI

Kristyn Pistone

  • Podiatrist
  • Haverhill, MA
National Provider Identifier
1285688341
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KRISTYN PISTONE
Practice address
62 Brown Street
Suite 201
Haverhill, MA 01830-6700
Phone
(978) 556-9750
Fax
(978) 521-8381
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Kristyn Pistone, D.P.M.
Title
Owner
Phone
(978) 556-9750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

62 Brown Street
Suite 201
Haverhill, MA 01830-6700

Mailing address

62 Brown Street
Suite 201
Haverhill, MA 01830-6700
Phone (978) 556-9750

Other identifiers 3

IdentifierTypeStateIssuer
0326721MedicaidMA
694010OtherMATUFTS HEALTH PLAN
Y71081OtherMABLUE CROSS/BLUE SHIELD

Other names 1

  • Merrimack Valley Footcare Doing business as

National Provider Directory

National Provider Directory

Locations

62 Brown St
Ste 201
Haverhill, MA 01830
Phone (978) 556-9750

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1285688341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROWN STREET",
            "address_2": "SUITE 201",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306700",
            "telephone_number": "978-556-9750",
            "fax_number": "978-521-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN STREET",
            "address_2": "SUITE 201",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306700",
            "telephone_number": "978-556-9750",
            "fax_number": "978-521-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTYN PISTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "PISTONE",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-556-9750",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326721",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "694010",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y71081",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrimack Valley Footcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.