Kristen Michelle Wastler, CPNP-PC, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

78540 Issued in KS

Practice address

8340 Mission Rd Ste 100
Prairie Village, KS 66206-1367

Phone

(913) 642-2100

Fax

(913) 642-2127

NPI assigned

Jan 22, 2019

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Mercy - Village Pediatrics

  • Pediatrics Physician
  • Prairie Village, KS
  • NPI 1801639810
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1447724653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 GRANDVIEW ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212216",
            "telephone_number": "913-961-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD STE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061367",
            "telephone_number": "913-642-2100",
            "fax_number": "913-642-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASTLER",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "CPNP-PC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "78540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Yan Wang
• Addison Olivia Ward
• Alina Theresa Ward
• Stephanie Michelle Warden, DDS
• Marcia D Watson, APRN
• Patricia N Watson, BA,MSPT
• Vonzella Love Watson, LMFT
• Alexa Rae Watters
• Rayvin Webber

• All providers in Prairie Village, KS
• Pediatric Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.