Individual provider Active NPI

Kristin Oldag Herman, RN,MSN,APNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Madison, WI
National Provider Identifier
1801067905
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
72277-030 Issued in WI
Practice address
115 N Orchard St
Madison, WI 53715-1150
Phone
(608) 262-8347
Fax
(608) 265-0605
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 72277-030 WI Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 833-033 WI

Addresses

Primary practice location

115 N Orchard St
Madison, WI 53715-1150

Mailing address

217 Carillon Dr
Madison, WI 53705-4616
Phone (608) 238-7234

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
72277-030WIMDAdult Psychiatric/Mental Health Registered Nurse
833-033WIMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1801067905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CARILLON DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054616",
            "telephone_number": "608-238-7234",
            "fax_number": "608-265-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N ORCHARD ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151150",
            "telephone_number": "608-262-8347",
            "fax_number": "608-265-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "KRISTIN",
        "middle_name": "OLDAG",
        "credential": "RN,MSN,APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "72277-030",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "833-033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.