Active NPI
Kristen Rae Jaster
- Nurse Practitioner
- Ringgold, GA
National Provider Identifier
1790631471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R2175645
- Practice address
- 258 Davis Rd
Ringgold, GA 30736-4015 - Phone
- (952) 737-9553
- NPI assigned
- Mar 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R2175645 | MN | Primary |
Addresses
Primary practice location
258 Davis Rd
Ringgold, GA 30736-4015
Mailing address
258 Davis Rd
Ringgold, GA 30736-4015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2175645 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1790631471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 DAVIS RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307364015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 DAVIS RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307364015",
"telephone_number": "952-737-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASTER",
"first_name": "KRISTEN",
"middle_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R2175645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.