Kristin Noelle Cross, RD, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

34503 Issued in AK

Practice address

Suite 107
Optihealth Medical Clinic 1000 O'Malley Drive
Anchorage, AK 99501

Phone

(907) 350-8903

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Optihealth Medical Clinic

  • Primary Care Clinic/Center
  • Anchorage, AK
  • NPI 1194062000
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1831538263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 UPPER KOGRU DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779743",
            "telephone_number": "907-854-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 107",
            "address_2": "OPTIHEALTH MEDICAL CLINIC 1000 O'MALLEY DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99501",
            "telephone_number": "907-350-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KRISTIN",
        "middle_name": "NOELLE",
        "credential": "RD, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "202",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "34503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tangella Cross-Young
• Ann Cross, RN
• Danielle Cross, RN
• Elizabeth Anne Cross, DPT, PT
• Kathryn Cross, CCC-SLP
• Shannon Lee Cross, LCSW
• Thomas Brett Cross, PA-C
• Clay Crossett, DMD
• Edward Eugene Crouch, M.D.
• Amry Crouse

• All providers in Anchorage, AK
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.