Individual provider Active NPI

Kristyn Janelle Zrenda, D.O.

  • Pediatrics Physician
  • Oklahoma City, OK
National Provider Identifier
1801289665
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6075 Issued in OK
Practice address
3400 NW Expressway Ste 815
Oklahoma City, OK 73112-4492
Phone
(405) 945-4990
Fax
(405) 945-4991
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6075OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A to Z Pediatrics, PLLC Pediatrics PastSince Nov 24, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristyn.zrenda.1@2280.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2280/brand/1/csg/1/fhir/r4

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6075 OK Primary

Addresses

Primary practice location

3400 NW Expressway Ste 815
Oklahoma City, OK 73112-4492

Mailing address

3400 NW Expressway Ste 815
Oklahoma City, OK 73112-4492
Phone (405) 945-4990

Other names 1

  • Kristyn Janelle Farr Former name

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1801289665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY STE 815",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124492",
            "telephone_number": "405-945-4990",
            "fax_number": "405-945-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY STE 815",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124492",
            "telephone_number": "405-945-4990",
            "fax_number": "405-945-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZRENDA",
        "first_name": "KRISTYN",
        "middle_name": "JANELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "6075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTYN",
            "last_name": "FARR",
            "middle_name": "JANELLE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.