Kirsten Elizabeth Wister, FNP-BC, ACNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3956 Issued in AZ

Practice address

4996 E Mediterranean Dr Ste D
Sierra Vista, AZ 85635-2434

Phone

(520) 335-6271

Fax

(520) 335-6316

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kirsten Elizabeth Whitman Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sonora Family Care

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1083984694
  NPD Authorized official
• American Geriatric Enterprise, Inc.

  • Specialist
  • Hereford, AZ
  • NPI 1841397072
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1609809052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4996 E MEDITERRANEAN DR STE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352434",
            "telephone_number": "520-335-6271",
            "fax_number": "520-335-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4996 E MEDITERRANEAN DR STE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352434",
            "telephone_number": "520-335-6271",
            "fax_number": "520-335-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTER",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP2534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610600",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "WHITMAN",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Lee Williams, RD
• Sundi Lynne Williams, M.A., CCC-SLP
• Carinna Wilmot, PMHNP-BC
• McKayla Wilson, SLPA
• Rafael Wilson
• Jeffrey M Wolk, MD
• Crestley Patricia Wong, OD
• Amanda M Wood, ED.S.
• Nicole Woods
• Wound Cares LLC

• Family Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.