Kristi Rae Paull, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009499 Issued in IN

Practice address

1668 S US Highway 421
Westville, IN 46391-9523

Phone

(219) 785-8424

Fax

(888) 692-8982

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in IN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nadeem U Kamran,MD, LLC

  • Internal Medicine Physician
  • Valparaiso, IN
  • NPI 1922326370
  Medicare reassignment NPD

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1659916203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CIDERMILL RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609270",
            "telephone_number": "219-898-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 S US HIGHWAY 421",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919523",
            "telephone_number": "219-785-8424",
            "fax_number": "888-692-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULL",
        "first_name": "KRISTI",
        "middle_name": "RAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michiana Hematology-Oncology P C
• MSD of New Durham Township
• Brenda Noe
• Sharon Orenick, L.C.S.W.
• Dishita B Patel, NP
• David Calvin Reed III, DDS
• Angela Denise Sheeler, MASSAGE THERAPIST
• Kimberly Streets
• Joanna Katherine Strittmater
• Monica Wala

• Family Nurse Practitioner in Westville, IN
• Providers in Westville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.