Individual provider Active NPI

Krista Leigh Kloster

  • Registered Nurse
  • Glenfield, NY
National Provider Identifier
1891359667
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
646008-1 Issued in NY
Practice address
6537 Johnson Rd
Glenfield, NY 13343-4120
Phone
(315) 783-9474
NPI assigned
Apr 27, 2019
Last updated
Apr 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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 646008-1 NY Primary

Addresses

Primary practice location

6537 Johnson Rd
Glenfield, NY 13343-4120

Mailing address

7472 Hodge Rd
Lowville, NY 13367-2331
Phone (315) 681-0114

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

State licenses

LicenseStateTypeSpecialty
646008-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1891359667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7472 HODGE RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133672331",
            "telephone_number": "315-681-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6537 JOHNSON RD",
            "city": "GLENFIELD",
            "state": "NY",
            "postal_code": "133434120",
            "telephone_number": "315-783-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTER",
        "first_name": "KRISTA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "646008-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.