Individual provider Active NPI

Kristi M Saunders, MD

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Etna, NH
National Provider Identifier
1841268570
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
13989 Issued in NH
Practice address
500 Hanover Center Rd
Etna, NH 03750-4113
Phone
(603) 643-3076
Fax
(603) 448-2087
NPI assigned
Mar 9, 2006
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13989 NH
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X 13989 NH Primary

Addresses

Primary practice location

500 Hanover Center Rd
Etna, NH 03750-4113

Mailing address

500 Hanover Center Rd
Etna, NH 03750-4113
Phone (603) 643-3076

Other identifiers 2

IdentifierTypeStateIssuer
100827400CMedicaidOK
30209984MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000124 NH Practitioner - Hospice/Palliative CarePractitioner - Obstetrics/Gynecology 8628083805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13989NHMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pemi-Baker Hospice & Home HealthPlymouth, NH, CCN 307031 Home health agency W-2 Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1841268570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HANOVER CENTER RD",
            "city": "ETNA",
            "state": "NH",
            "postal_code": "037504113",
            "telephone_number": "603-643-3076",
            "fax_number": "603-448-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HANOVER CENTER RD",
            "city": "ETNA",
            "state": "NH",
            "postal_code": "037504113",
            "telephone_number": "603-643-3076",
            "fax_number": "603-448-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "KRISTI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "13989",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "NH",
            "license": "13989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100827400C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30209984",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Etna, NH

Sources for this page

Verify at the official NPI Registry.