Kristen Shay Rasnick, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95010899 Issued in CA

Practice address

340 Fremont St
San Francisco, CA 94105-2558

Phone

(646) 328-6812

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kristen Rasnick Fusillo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1700293131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112410",
            "telephone_number": "424-347-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FREMONT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052558",
            "telephone_number": "646-328-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNICK",
        "first_name": "KRISTEN",
        "middle_name": "SHAY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9308727",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016066400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "FUSILLO",
            "middle_name": "RASNICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neema Rashidi
• Joshua Raskoff, P.T., D.P.T.
• Kelly McMillan Raskoff, M.S.N, RN, NNP-BC
• William J. Raskoff, MD
• Miranda Rasmussen, MD
• Nailyn Rasool
• Aaron Rasor, LMFT
• Amy G. Rassen, LCSW
• Joshua Rassen
• Kasra Rastani, M.D., PH.D.

• Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.