Individual provider Active NPI

Kristen White, MD

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1356924609
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84691-020 Issued in WI
Practice address
1316 W Forest Home Ave Ste a
Milwaukee, WI 53204-3227
Phone
(414) 424-5000
Fax
(262) 725-4000
NPI assigned
May 4, 2021
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84691-020 WI Primary

Addresses

Primary practice location

1316 W Forest Home Ave Ste a
Milwaukee, WI 53204-3227

Mailing address

1316 W Forest Home Ave Ste a
Milwaukee, WI 53204-3227
Phone (414) 424-5000

Other identifiers 1

IdentifierTypeStateIssuer
1356924609MedicaidWI

Other names 1

  • Ms. Kristen Hulbert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020001713 WI Order and Referring Only - General SurgeryPractitioner - General Surgery 9133575533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100359851WIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1356924609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W FOREST HOME AVE STE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043227",
            "telephone_number": "414-424-5000",
            "fax_number": "262-725-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W FOREST HOME AVE STE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043227",
            "telephone_number": "414-424-5000",
            "fax_number": "262-725-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "84691-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356924609",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HULBERT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.