Peter Kisner, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

803440 Issued in TX

Practice address

835 Tuscan Rd
Harker Heights, TX 76548-8694

Phone

(877) 773-2563

NPI assigned

Aug 30, 2018

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1407338171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 CHISHOLM TRL",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765715451",
            "telephone_number": "254-217-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 TUSCAN RD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488694",
            "telephone_number": "877-773-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Hopi Cir",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765044909",
            "country_code": "US",
            "telephone_number": "254-534-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Parkfield Ln",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765022144",
            "country_code": "US",
            "telephone_number": "254-624-9367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISNER",
        "first_name": "PETER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "803440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.