Individual provider Active NPI

Krista LD Stryjewski, RN, MSN, FNP-BC, DNP

  • Family Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1518445154
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7625 Issued in CT
Practice address
800 Main St S Ste 112
Southbury, CT 06488-4210
Phone
(860) 578-4722
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7625 CT Primary

Addresses

Primary practice location

800 Main St S Ste 112
Southbury, CT 06488-4210

Mailing address

40 Cornerstone CT Apt 3
Plantsville, CT 06479-1546
Phone (203) 592-7270

Other identifiers 1

IdentifierTypeStateIssuer
31943OtherCTCT PHYSICIAN

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
Credentials
Master of Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1518445154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CORNERSTONE CT APT 3",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791546",
            "telephone_number": "203-592-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST S STE 112",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884210",
            "telephone_number": "860-578-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYJEWSKI",
        "first_name": "KRISTA",
        "middle_name": "LD",
        "name_prefix": "Dr.",
        "credential": "RN, MSN, FNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT PHYSICIAN",
            "identifier": "31943",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.