Active NPI
Robert E. Kristy, MSW, MA
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1689007627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- X-08307
- Practice address
- 1532 Cerrillos Rd
Building B
Santa Fe, NM 87505-3512 - Phone
- (505) 944-1364
- NPI assigned
- Aug 13, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | X-08307 | NM | Primary |
Addresses
Primary practice location
1532 Cerrillos Rd
Building B
Santa Fe, NM 87505-3512
Mailing address
2415 San Patricio PLZ
Santa Fe, NM 87505-5834
Phone (240) 463-2104
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-08307 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1689007627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 SAN PATRICIO PLZ",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055834",
"telephone_number": "240-463-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 CERRILLOS RD",
"address_2": "BUILDING B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053512",
"telephone_number": "505-944-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTY",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "MSW, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-08307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.