Individual provider Active NPI

Kristen Ann Bransby, DNP, CPNP-PC, PMHS

  • Pediatric Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1760614002
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP012902 Issued in PA
Practice address
1540 Eden Rd
Lancaster, PA 17601-5258
Phone
(484) 999-0973
Fax
(717) 670-9973
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X SPO12902 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP012902 PA
Pediatric Nurse Practitioner 363LP0200X SP012902 PA Primary

Addresses

Primary practice location

1540 Eden Rd
Lancaster, PA 17601-5258

Mailing address

1540 Eden Rd
Lancaster, PA 17601-5258
Phone (610) 235-9555

Other practice location 1

11 Industrial Blvd
Suite 2
Paoli, PA 19301-1632
Phone (610) 334-8341

Other identifiers 2

IdentifierTypeStateIssuer
FHC70593FMedicaidCA
FHC71031FMedicaidCA

Other names 1

  • Kristen Ann Danese Altdoerffer Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19782CAMDAcupuncturist
SPO12902PAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherished Minds LLC CurrentSince Feb 23, 2025 Accepting new patients
Psychological Healthcare, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1760614002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015258",
            "telephone_number": "610-235-9555",
            "fax_number": "610-544-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015258",
            "telephone_number": "484-999-0973",
            "fax_number": "717-670-9973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Industrial Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011632",
            "country_code": "US",
            "telephone_number": "610-334-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANSBY",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "credential": "DNP, CPNP-PC, PMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "PA",
            "license": "SPO12902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP012902",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP012902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70593F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71031F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ALTDOERFFER",
            "middle_name": "ANN DANESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.