Active NPI
Kristie Harmon, R.N.
- Registered Nurse
- Poplar Bluff, MO
National Provider Identifier
1629393673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 142146
- Practice address
- 2900 Saddlebrook TRL
Poplar Bluff, MO 63901-9301 - Phone
- (573) 727-9432
- NPI assigned
- Apr 1, 2010
- 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 | 142146 | MO | Primary |
Addresses
Primary practice location
2900 Saddlebrook TRL
Poplar Bluff, MO 63901-9301
Mailing address
2900 Saddlebrook TRL
Poplar Bluff, MO 63901-9301
Phone (573) 727-9432
Other names 1
- Kristie Hudson
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 |
|---|---|---|---|
| 142146 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1629393673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SADDLEBROOK TRL",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639019301",
"telephone_number": "573-727-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 SADDLEBROOK TRL",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639019301",
"telephone_number": "573-727-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "KRISTIE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "142146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIE",
"last_name": "HUDSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.