Kristen Leigh Qadadah, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN174951 Issued in GA

Practice address

300 Hospital Rd FL 6
Dwight D Eisenhower Army Medical Center
Ft Gordon, GA 30905-5650

Phone

(706) 787-2552

NPI assigned

Apr 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1649444175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL RD FL 6",
            "address_2": "DWIGHT D EISENHOWER ARMY MEDICAL CENTER",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL RD FL 6",
            "address_2": "DWIGHT D EISENHOWER ARMY MEDICAL CENTER",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADADAH",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN174951",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "623606",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "67313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Shane Pritchard
• Dan Melbourne Prucha, DDS
• Quinnon Ralph Purvis, M.D.
• Helen Minnetta Putnam, OTRL, PA
• Jacques R Pye, MD
• Sandra L Quinones
• Amanda Q Rabun, RN
• Bric McCutcheon Rahimi, M.D.
• Joel Phillip Raintree, M.S., L.P.C.
• Diana Ramirez, APRN - FNP

• Registered Nurse in Ft Gordon, GA
• Providers in Ft Gordon, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.