Individual provider Active NPI

Christine Marie Krzyston, APSW

  • Social Worker
  • Wauwatosa, WI
National Provider Identifier
1669016408
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
875-121 Issued in WI
Practice address
10045 W Lisbon Ave
Wauwatosa, WI 53222-2446
Phone
(414) 358-7999
Fax
(414) 358-7158
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 875-121 WI Primary

Addresses

Primary practice location

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446

Mailing address

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446
Phone (414) 358-7999

Other practice location 1

6737 W Washington St Ste 1300
West Allis, WI 53214-5636
Phone (414) 358-7144

Other identifiers 1

IdentifierTypeStateIssuer
875-121OtherWIAPSW LICENSE

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

State licenses

LicenseStateTypeSpecialty
875-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives in Psychological Consultation, S.C. PastSince Sep 28, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1669016408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7999",
            "fax_number": "414-358-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 W LISBON AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222446",
            "telephone_number": "414-358-7999",
            "fax_number": "414-358-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6737 W Washington St Ste 1300",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532145636",
            "country_code": "US",
            "telephone_number": "414-358-7144",
            "fax_number": "414-358-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRZYSTON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "875-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APSW LICENSE",
            "identifier": "875-121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.