Individual provider Active NPI

Kristi L Obenauer, CSA

  • Surgical Assistant
  • Carol Stream, IL
National Provider Identifier
1346425667
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
457 Minnesota Cir
Carol Stream, IL 60188-9217
Phone
(630) 546-3816
NPI assigned
Jan 5, 2008
Last updated
Jan 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X IL Primary

Addresses

Primary practice location

457 Minnesota Cir
Carol Stream, IL 60188-9217

Mailing address

457 Minnesota Cir
Carol Stream, IL 60188-9217
Phone (630) 546-3816

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
238000058ILMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199491200000",
    "number": "1346425667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 MINNESOTA CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889217",
            "telephone_number": "630-546-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 MINNESOTA CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889217",
            "telephone_number": "630-546-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENAUER",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; 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.