Kristin Nicole Knobloch, APRN-CNS

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

277001352 Issued in IL

Practice address

3 Professional Dr Ste C
Alton, IL 62002-5011

Phone

(618) 433-9300

NPI assigned

Dec 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Kristin Nicole Barbour Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1750610044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR STE C",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025011",
            "telephone_number": "618-433-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR STE C",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025011",
            "telephone_number": "618-433-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLOCH",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "83379",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "MO",
            "license": "2012031746",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "OK",
            "license": "83379",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "IL",
            "license": "277001352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "277001352",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BARBOUR",
            "middle_name": "NICOLE",
            "credential": "APRN-CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Kleinschmidt
• James A Kliefoth, MD
• Mark T Klucka, D.O.
• Jonathan Michael Klunk, OD
• Leah Knabe, APRN
• Staci M Knox, LCSW
• Patricia Nyleen Kolesa, M.S. CCC-SLP
• Stanislav Kovalets
• Andrew Paul Kramer, PHARMD
• Angela Kramer

• Acute Care Clinical Nurse Specialist in Alton, IL
• Providers in Alton, IL by specialty
• Acute Care Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.