Individual provider Active NPI

Kristina Nikl

  • Pharmacist
  • Waverly, IA
National Provider Identifier
1306456066
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23547 Issued in IA
Practice address
1311 4TH St SW
Waverly, IA 50677-4324
Phone
(319) 352-2021
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23547 IA Primary

Addresses

Primary practice location

1311 4TH St SW
Waverly, IA 50677-4324

Mailing address

413 SE Sharon Dr
Ankeny, IA 50021-3416
Phone (515) 423-8016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kristinanikl16@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23547IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1306456066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SE SHARON DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213416",
            "telephone_number": "515-423-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 4TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774324",
            "telephone_number": "319-352-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKL",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kristinanikl16@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "413 SE Sharon Dr",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500213416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.