Kristine Joy Macaraeg, IDHS, NREMT

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

1 Eagle Rd BLDG 42
Alameda, CA 94501-5101

Phone

(727) 403-6599

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1467629980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLE RD BLDG 50-2",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015101",
            "telephone_number": "727-403-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAGLE RD BLDG 42",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015101",
            "telephone_number": "727-403-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15100 Rescue Way",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337623502",
            "country_code": "US",
            "telephone_number": "727-535-1437 x1606",
            "fax_number": "727-535-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACARAEG",
        "first_name": "KRISTINE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "IDHS, NREMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Lynch
• Juliann Patricia Lyons, P.T., L.AC.
• Tyler Lyons
• Crystal Renelle Mabon
• Makaela Kneshai Mabrey
• Michelle Macarai, LCSW
• Alex Macdonald
• Rebecca S Macgrain
• Bronson Mach
• Jeffrey Mach

• Military Health Care Provider in Alameda, CA
• Providers in Alameda, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.