Individual provider Active NPI

Kristen Rochelle Huth, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Connellsville, PA
National Provider Identifier
1316772171
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030512 Issued in PA
Practice address
261 E Crawford Ave
Connellsville, PA 15425-3635
Phone
(724) 628-4600
Fax
(724) 628-0233
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SP030512 PA
Family Nurse Practitioner 363LF0000X SP030512 PA Primary

Addresses

Primary practice location

261 E Crawford Ave
Connellsville, PA 15425-3635

Mailing address

261 E Crawford Ave
Connellsville, PA 15425-3635
Phone (724) 628-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024000028 PA Practitioner - Nurse Practitioner 5395278725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Connellsville Internal Medicine CurrentSince Jan 13, 2025 Accepting new patients

Locations

261 E Crawford Ave
Connellsville, PA 15425
Phone (724) 628-4600

1027 W Main St
Mt Pleasant, PA 15666
Phone (724) 260-1767

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1316772171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 E CRAWFORD AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253635",
            "telephone_number": "724-628-4600",
            "fax_number": "724-628-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E CRAWFORD AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253635",
            "telephone_number": "724-628-4600",
            "fax_number": "724-628-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTH",
        "first_name": "KRISTEN",
        "middle_name": "ROCHELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP030512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.