Individual provider Active NPI

Kristin Shae Freeto, RN

  • Registered Nurse
  • Lyndonville, VT
National Provider Identifier
1790282630
Registry record updated Apr 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
026.0087051 Issued in VT
Practice address
339 Highland Cir
Lyndonville, VT 05851-9244
Phone
(802) 626-5432
NPI assigned
Apr 8, 2018
Last updated
Apr 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 072264-21 NH
Registered Nurse 163W00000X 026.0087051 VT Primary

Addresses

Primary practice location

339 Highland Cir
Lyndonville, VT 05851-9244

Mailing address

339 Highland Cir
Lyndonville, VT 05851-9244
Phone (802) 626-5432

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
072264-21NHMDRegistered Nurse
026.0087051VTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1790282630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HIGHLAND CIR",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519244",
            "telephone_number": "802-626-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HIGHLAND CIR",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519244",
            "telephone_number": "802-626-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREETO",
        "first_name": "KRISTIN",
        "middle_name": "SHAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "072264-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0087051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndonville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.