Active NPI
Kristen Dunn, PA
- Physician Assistant
- Wolfeboro, NH
National Provider Identifier
1366412009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009980
- Practice address
- 240 S Main St
Wolfeboro, NH 03894-4411 - Phone
- (603) 569-7500
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009980 | NY | Primary |
Addresses
Primary practice location
240 S Main St
Wolfeboro, NH 03894-4411
Mailing address
984 Whittier Highway
Moultonborough, NH 03254
Phone (603) 476-2216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009980 | NY | MD | Clinical Psychologist |
| 445 | NH | MD | Optometrist |
| 0445 | NH | MD | Physical Therapy Assistant |
Interoperability endpoints
- kdunn230155@direct.mmc.mainehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1366412009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 WHITTIER HIGHWAY",
"city": "MOULTONBOROUGH",
"state": "NH",
"postal_code": "03254",
"telephone_number": "603-476-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S MAIN ST",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944411",
"telephone_number": "603-569-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.