Active NPI
Kristy Gaines, RN
- Registered Nurse
- Linn Creek, MO
National Provider Identifier
1811356124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2003009896
- Practice address
- 1091 Midway Dr
Linn Creek, MO 65052-1687 - Phone
- (573) 346-6758
- NPI assigned
- Feb 15, 2016
- Last updated
- Feb 15, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2003009896 | MO | Primary |
Addresses
Primary practice location
1091 Midway Dr
Linn Creek, MO 65052-1687
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003009896 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1811356124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 MIDWAY DR",
"city": "LINN CREEK",
"state": "MO",
"postal_code": "650521687",
"telephone_number": "573-346-6758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "KRISTY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2003009896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linn Creek, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.