Kristine Lynn Houselog, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000652 Issued in SD

Practice address

1315 S. Cliff Ave.
Ste. 1200
Sioux Falls, SD 57105-1057

Phone

(605) 322-8535

Fax

(605) 322-8536

NPI assigned

Aug 19, 2011

Last updated

Mar 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://ae381384-3c50-4a82-b362-244639d5d1cf.gastro.prod.fhir.ema-api.com/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/JBFJCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shabbir Husain Jamali MD PA

  dba Gastroenterology Diagnostic Center

  • Gastroenterology Physician
  • Tomball, TX
  • NPI 1699825661
  Medicare reassignment NPD
• Avera McKennan

  dba Avera Liver Disease

  • Hepatology Physician
  • Sioux Falls, SD
  • NPI 1396945267
  NPD (past)

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1710267950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S. MINNESOTA AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053762",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S. CLIFF AVE.",
            "address_2": "STE. 1200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051057",
            "telephone_number": "605-322-8535",
            "fax_number": "605-322-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSELOG",
        "first_name": "KRISTINE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6836010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Hotvet
• Charmaine Houck
• Melissa Houdek
• Lindsay Kay House, PA-C
• Jolind Houselog
• Jenna Ann Houseman, MOT
• Jennifer L Houwman, PA-C
• Taylor Mary Hovaldt, PT, DPT, ATC
• David L Hoversten, M.D.
• Derek Hovick, PA

• Family Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.