Active NPI
Kristen El-Houjairy
- Nurse Practitioner
- Jasper, IN
National Provider Identifier
1427481852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28168613A
- Practice address
- 721 W 13TH St
Suite 325
Jasper, IN 47546-1855 - Phone
- (812) 996-5781
- Fax
- (812) 996-0150
- NPI assigned
- Aug 21, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28168613A | IN | Primary |
Addresses
Primary practice location
721 W 13TH St
Suite 325
Jasper, IN 47546-1855
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8476
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 |
|---|---|---|---|
| 28168613A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1427481852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028",
"city": "JASPER",
"state": "IN",
"postal_code": "475471028",
"telephone_number": "812-996-8476",
"fax_number": "812-996-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W 13TH ST",
"address_2": "SUITE 325",
"city": "JASPER",
"state": "IN",
"postal_code": "475461855",
"telephone_number": "812-996-5781",
"fax_number": "812-996-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-HOUJAIRY",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28168613A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.