Krista Imre, ND

Key facts

NPI

1831668672

Entity type

Individual (NPI type 1)

Primary specialty

Naturopath 175F00000X

Practice address

254 Commercial St Ste 258
Portland, ME 04101-4664

Phone

(561) 571-3326

Fax

(207) 405-2199

NPI assigned

Nov 22, 2018

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Earth Source Medicine Clinic/Center · Astoria, OR · NPI 1164952495
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2025.

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1831668672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 COMMERCIAL ST STE 258",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014664",
            "fax_number": "207-405-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COMMERCIAL ST STE 258",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014664",
            "telephone_number": "561-571-3326",
            "fax_number": "207-405-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68-1845 Waikoloa Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Waikoloa",
            "state": "HI",
            "postal_code": "967385581",
            "country_code": "US",
            "telephone_number": "209-206-1181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMRE",
        "first_name": "KRISTA",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-22",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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