Active NPI
Kristen Ann Bransby, DNP, CPNP-PC, PMHS
- Pediatric Nurse Practitioner
- Lancaster, PA
National Provider Identifier
1760614002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP012902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70593F | Medicaid | CA | |
| FHC71031F | Medicaid | CA |
Other names 1
- Kristen Ann Danese Altdoerffer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19782 | CA | MD | Acupuncturist |
| SPO12902 | PA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherished Minds LLC | Current | 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.
-
- Clinic/Center
- Lancaster, PA
- NPI 1740086453
-
- Professional Counselor
- Syracuse, NY
- NPI 1922109578
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.