Individual provider Active NPI

Kristin Fiducia, APN

  • Family Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1619426343
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00670300 Issued in NJ
Practice address
9 Madison St
Morristown, NJ 07960-5257
Phone
(888) 409-0801
Fax
(973) 425-0453
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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 26NJ00670300 NJ Primary

Addresses

Primary practice location

9 Madison St
Morristown, NJ 07960-5257

Mailing address

9 Madison St
Morristown, NJ 07960-5257
Phone (888) 409-0801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20161121001215 NJ Practitioner - Nurse Practitioner 1658650320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00670300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Plastic Surgery CurrentSince Oct 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kfiducia260859@epicdirect.rwjbh.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1619426343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MADISON ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605257",
            "telephone_number": "888-409-0801",
            "fax_number": "973-425-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MADISON ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605257",
            "telephone_number": "888-409-0801",
            "fax_number": "973-425-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDUCIA",
        "first_name": "KRISTIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00670300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.