Kristen M. Deep, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

338817 Issued in NY

Practice address

525 French Rd
Utica, NY 13502-5945

Phone

(315) 624-3491

NPI assigned

Jun 18, 2014

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wendy E Martin

  dba Wendy Martin ANP

  • Health Service Clinic/Center
  • Utica, NY
  • NPI 1235314303
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1568876464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 FRENCH RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025945",
            "telephone_number": "315-624-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 FRENCH RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025945",
            "telephone_number": "315-624-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEP",
        "first_name": "KRISTEN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Decarr, LCSW
• Brian Decker, LMHC
• Sarah Decker, CASAC
• Carol Declue, LMSW, LCSW
• Rebecca A Deeley, M.D.
• Deerfield Family Practice, PLLC
• Lisa Deering
• Alison C Defrank
• Annette Maria Degironimo-Tennyson, OTR/L
• Teresa Degrace, M.S. ED.

• Family Nurse Practitioner in Utica, NY
• Providers in Utica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.