Individual provider Active NPI

Kristi Prowell, RN

  • Registered Nurse
  • Mechanicsburg, PA
National Provider Identifier
1700344405
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN320453L Issued in PA
Practice address
5070 Ritter Rd
Mechanicsburg, PA 17055-4824
Phone
(717) 590-1525
Fax
(717) 590-1565
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN320453L PA Primary

Addresses

Primary practice location

5070 Ritter Rd
Mechanicsburg, PA 17055-4824

Mailing address

5070 Ritter Rd
Mechanicsburg, PA 17055-4824
Phone (717) 590-1525

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN320453LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1700344405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 RITTER RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554824",
            "telephone_number": "717-590-1525",
            "fax_number": "717-590-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 RITTER RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554824",
            "telephone_number": "717-590-1525",
            "fax_number": "717-590-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROWELL",
        "first_name": "KRISTI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN320453L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.