Active NPI
Kristin M. Kreider, ACNP, RNFA
- Acute Care Nurse Practitioner
- New York, NY
National Provider Identifier
1356840979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 431645
- Practice address
- 535 E 70TH St
New York, NY 10021-4898 - Phone
- (212) 606-1000
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 26NR13779800 | NJ | |
| Acute Care Nurse Practitioner | 363LA2100X | 431645 | NY | Primary |
Addresses
Primary practice location
535 E 70TH St
New York, NY 10021-4898
Mailing address
1709 Sterling Dr
Florham Park, NJ 07932-3036
Phone (732) 668-4924
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR13779800 | NJ | MD | Registered Nurse First Assistant |
| 431645 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Society for the Relief of Ruptured & Crippled Maintaining | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- General Acute Care Hospital
- New York, NY
- NPI 1598703019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1356840979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 STERLING DR",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079323036",
"telephone_number": "732-668-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214898",
"telephone_number": "212-606-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIDER",
"first_name": "KRISTIN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "ACNP, RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "NJ",
"license": "26NR13779800",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "431645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.