Individual provider Active NPI

Kristen Marie Hawk, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Muscatine, IA
National Provider Identifier
1689246134
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G164891 Issued in IA
Practice address
1616 Cedar St
Muscatine, IA 52761-3453
Phone
(309) 779-5000
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 149839 IA
Registered Nurse 163W00000X 041.459381 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.023875 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G164891 IA Primary

Addresses

Primary practice location

1616 Cedar St
Muscatine, IA 52761-3453

Mailing address

1616 Cedar St
Muscatine, IA 52761-3453
Phone (309) 779-5000

Other names 1

  • Kristen Marie Lambert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149839IAMDRegistered Nurse
041.459381ILMDRegistered Nurse
G164891IAMDPsychiatric/Mental Health Nurse Practitioner
209.023875ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health Current Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Mar 9, 2022 Accepting new patients
Trinity Medical Center CurrentSince Oct 4, 2021 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Mar 9, 2022 Accepting new patients
Trinity Medical Center CurrentSince Oct 4, 2021 Accepting new patients

Locations

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

1616 Cedar St
Muscatine, IA 52761
Phone (309) 779-3000

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

Organizations & group practices 5

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1689246134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CEDAR ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613453",
            "telephone_number": "309-779-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CEDAR ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613453",
            "telephone_number": "309-779-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "149839",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.459381",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023875",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G164891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LAMBERT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.