Kristin Ann Gendron

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

4704252480 Issued in MI

Practice address

W8725 Twin Falls Access Rd
Iron Mountain, MI 49801-9502

Phone

(906) 282-3323

NPI assigned

Apr 25, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1396433603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8725 TWIN FALLS ACCESS RD",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8725 TWIN FALLS ACCESS RD",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019502",
            "telephone_number": "906-282-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDRON",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MI",
            "license": "4704252480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ray Gartland I
• Haley Rae Gasperich
• Kasey Gaston
• Melissa Lee Gauthier, LCSW,MSW
• Alexandria Gendron
• Toby P Gendron, MD
• Get a Cab LLC
• Ann Elizabeth Ghere
• Jennifer Ann Gibbons, CNP
• Louis Robert Gignac

• Diabetes Educator Registered Nurse in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Diabetes Educator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.