Active NPI
Susan Theresa Kistner, RN
- Registered Nurse
- Rhinebeck, NY
National Provider Identifier
1538250543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2524111
- Practice address
- 41 Springwood Drive
Daytop Village Robert Hook Road
Rhinebeck, NY 12572 - Phone
- (845) 876-5612
- Fax
- (845) 876-1334
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- 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 | 2524111 | NY | Primary |
Addresses
Primary practice location
41 Springwood Drive
Daytop Village Robert Hook Road
Rhinebeck, NY 12572
Mailing address
1591 Bulls Head Road
Clinton Corners, NY 12514
Phone (845) 266-4167
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 |
|---|---|---|---|
| 2524111 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538250543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 BULLS HEAD ROAD",
"city": "CLINTON CORNERS",
"state": "NY",
"postal_code": "12514",
"telephone_number": "845-266-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SPRINGWOOD DRIVE",
"address_2": "DAYTOP VILLAGE ROBERT HOOK ROAD",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "12572",
"telephone_number": "845-876-5612",
"fax_number": "845-876-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTNER",
"first_name": "SUSAN",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "2524111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rhinebeck, NY
- Sarah L Kieran, LMSW
- James S. Kikuoka, MD
- Paul Joseph King, LMHC
- Kingsley-Hylkema Physical Therapy, P.C. (Dynamic Physical Therapy)
- Thomas A Kingsley, PHYSICAL THERAPIST
- Suzanne Eileen Klare, R.N.
- Tara Renee Kochey, PT, DPT
- Michael W Kolber, R.N.
- Kristin Gonzalez (Kristin Gonzalez Therapy)
- Minho Kwon, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.