Individual provider Active NPI

Kristine Marie Ribitch, P.A.-C.

  • Physician Assistant
  • Mt Pleasant, MI
National Provider Identifier
1356591135
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005381 Issued in MI
Practice address
2853 Health Parkway
Suite B
Mount Pleasant, MI 48858-3872
Phone
(989) 775-7641
Fax
(989) 775-6472
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005381 MI Primary

Addresses

Primary practice location

2853 Health Parkway
Suite B
Mount Pleasant, MI 48858-3872

Mailing address

2853 Health Parkway
Suite B
Mount Pleasant, MI 48858
Phone (989) 775-7641

Other names 1

  • Kristine Marie Muxlow Former name

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1356591135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PARKWAY",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-775-7641",
            "fax_number": "989-775-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PARKWAY",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583872",
            "telephone_number": "989-775-7641",
            "fax_number": "989-775-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBITCH",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "MUXLOW",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.