Active NPI
Kjell O Kristiansen, CRNA
- Registered Nurse
- New Albany, IN
National Provider Identifier
1689646622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 501A
- Practice address
- 520 W 1St St
New Albany, IN 47150-3603 - Phone
- (812) 949-3442
- Fax
- (812) 949-3441
- NPI assigned
- Feb 3, 2006
- Last updated
- Apr 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 501A | KY | Primary |
Addresses
Primary practice location
520 W 1St St
New Albany, IN 47150-3603
Mailing address
520 W 1St St
New Albany, IN 47150-3603
Phone (812) 949-3442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000039503 | Other | IN | IN BCBS |
| 74050113 | Medicaid | KY |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501A | KY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1689646622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W 1ST ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471503603",
"telephone_number": "812-949-3442",
"fax_number": "812-949-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W 1ST ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471503603",
"telephone_number": "812-949-3442",
"fax_number": "812-949-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTIANSEN",
"first_name": "KJELL",
"middle_name": "O",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "501A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN BCBS",
"identifier": "000000039503",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74050113",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
- Andrew Kost, CAA
- Lynn H Krammes, MS, CCC-SLP
- Alison Lea Krauth, APRN
- Joanna Elizabeth Kreyling, CPNP-PC
- Susan M. Krischunis, M.D.
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy #744)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Anne Marie Kron, RDN
- Jennifer I Kron, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.