Krystina Marie Gualtieri, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22650188 Issued in NY

Practice address

211 Doris St
Port Ewen, NY 12466-7787

Phone

(845) 338-5202

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1518219971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DORIS ST",
            "address_2": "PO BOX 41",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124667787",
            "telephone_number": "845-338-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DORIS ST",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124667787",
            "telephone_number": "845-338-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALTIERI",
        "first_name": "KRYSTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22650188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ethan, OTR/L
• Aubrey Rose Flick, PTA, PRPC, PCES
• Cynthia Forness, LPN
• Leah Elizabeth Gherardi, SPECIAL EDUCATION
• Lisamarie Grosso, RN
• Maria Alexandra Hayda, TVI
• Leigh Ellen Hill, RPH
• Kaycie A Kimberlin, DC
• Walter Dale Kimberlin Jr., D.C.
• Stephen A Kleinman, DDS

• Registered Nurse in Port Ewen, NY
• Providers in Port Ewen, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.