Active NPI
Kristine Kaye Burnstad, MSW,LCSW
- Social Worker
- Baraboo, WI
National Provider Identifier
1467410001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6780123
- Practice address
- 1002 Lincoln Ave
Baraboo, WI 53913-1808 - Phone
- (608) 356-9884
- Fax
- (608) 356-0985
- NPI assigned
- May 3, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6780123 | WI | Primary |
Addresses
Primary practice location
1002 Lincoln Ave
Baraboo, WI 53913-1808
Mailing address
1002 Lincoln Ave
Pauquette Center
Baraboo, WI 53913
Phone (608) 356-9055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43577200 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6780123 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Redi Clinic of Wauwatosa, SC | Past | Accepting new patients | |
| Michael D Plooster MD SC | Past | Accepting new patients | |
| Pathway to Wellness Community Clinic SC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Baraboo, WI
- NPI 1447232624
-
- Clinical Social Worker
- Prairie Du Sac, WI
- NPI 1528413739
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wauwatosa, WI
- NPI 1043228505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467410001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 LINCOLN AVE",
"address_2": "PAUQUETTE CENTER",
"city": "BARABOO",
"state": "WI",
"postal_code": "53913",
"telephone_number": "608-356-9055",
"fax_number": "608-356-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 LINCOLN AVE",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131808",
"telephone_number": "608-356-9884",
"fax_number": "608-356-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNSTAD",
"first_name": "KRISTINE",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "MSW,LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "6780123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43577200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.