Kristin Jean Racoosin

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

348309 Issued in CA

Practice address

9999 Flyrod Dr
Paso Robles, CA 93446-7715

Phone

(626) 664-4067

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1609465830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 FLYROD DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467715",
            "telephone_number": "626-664-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 FLYROD DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467715",
            "telephone_number": "626-664-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACOOSIN",
        "first_name": "KRISTIN",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "348309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Marie Prado
• Jennifer Anne Prins, L.C.S.W.
• Pulver Dental, P.C.
• Laura Andra Pulver, D.D.S., M.S.D.
• Ross Jeffrey Pulver, D.D.S., M.S.
• Nenad Radojevic, RN
• Fred R Raleigh, PHARM.D., BCPP
• Beverly Joy Sanson Ramos, MD
• David Allen Ramsey, D.C.
• Donna Lee Randall, P.T.

• Critical Care Medicine Registered Nurse in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.