Kristi M Annecone, FNP

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

490104 Issued in CA

Practice address

4050 Moorpark Avenue
San Jose, CA 95117-1840

Phone

(408) 243-2700

Fax

(408) 553-0750

NPI assigned

Sep 27, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1316038581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 MOORPARK AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171840",
            "telephone_number": "408-243-2700",
            "fax_number": "408-553-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 MOORPARK AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171840",
            "telephone_number": "408-243-2700",
            "fax_number": "408-553-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNECONE",
        "first_name": "KRISTI",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "490104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.