Individual provider Active NPI

Kristina Tischmak, RN, BSN

  • Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1851728265
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1622784 Issued in CO
Practice address
1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444
Phone
(719) 578-3297
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1622784 CO Primary

Addresses

Primary practice location

1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444

Mailing address

1167 Westmoreland Rd
Colorado Springs, CO 80907-4628
Phone (719) 377-0350

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1622784COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Public Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1851728265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 WESTMORELAND RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074628",
            "telephone_number": "719-377-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD",
            "address_2": "SUITE 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCHMAK",
        "first_name": "KRISTINA",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1622784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.