Jason A Krist, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-121972 Issued in IA

Practice address

711 S Vine St
Glenwood Resource Center, State of Iowa
Glenwood, IA 51534-1927

Phone

(712) 525-1855

NPI assigned

Aug 5, 2008

Last updated

Nov 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1467618868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17722 LILLIAN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681362051",
            "telephone_number": "402-932-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VINE ST",
            "address_2": "GLENWOOD RESOURCE CENTER, STATE OF IOWA",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341927",
            "telephone_number": "712-525-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIST",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "1821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-121972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenkel Family Chiropractic PC
• Mike V Kenkel, D.C.
• Robert Marvin Kent, M.D.
• Mitch Keppard
• Terena Mae Kring, APRN
• Robert Lee Krueger, PHARMACIST
• Dara Latner, OD
• Katiejo Charmaine Lawton, OTR/L
• Sandra Elaine Leaders, F.N.P.
• Amanda Autumn Leick, PHARMD

• Family Nurse Practitioner in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.