Active NPI
Kristin L West, RN
- Registered Nurse
- Davenport, IA
National Provider Identifier
1477859890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 094735
- Practice address
- 1441 W. Centrral Park Ave
Vera French Community Mental Health Center
Davenport, IA 52804 - Phone
- (563) 383-1900
- Fax
- (563) 884-4638
- NPI assigned
- Feb 2, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 094735 | IA | Primary |
Addresses
Primary practice location
1441 W. Centrral Park Ave
Vera French Community Mental Health Center
Davenport, IA 52804
Mailing address
1411 W. Central Park Ave
Vera French Community Mental Health Center
Davenport, IA 52804
Phone (563) 383-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42-0716337 | Medicaid | IA |
Other names 1
- Kristin Haas
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094735 | IA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1477859890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 W. CENTRAL PARK AVE",
"address_2": "VERA FRENCH COMMUNITY MENTAL HEALTH CENTER",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52804",
"telephone_number": "563-383-1900",
"fax_number": "563-884-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 W. CENTRRAL PARK AVE",
"address_2": "VERA FRENCH COMMUNITY MENTAL HEALTH CENTER",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52804",
"telephone_number": "563-383-1900",
"fax_number": "563-884-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "KRISTIN",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "094735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42-0716337",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "HAAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.