Individual provider Active NPI

Kristeen Leigh Alatriste, FNP-C

  • Women's Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1891473708
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95026553 Issued in CA
Practice address
2760 S Elm Ave
Fresno, CA 93706-5435
Phone
(559) 457-5300
Fax
(559) 457-5390
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95026553 CA Primary

Addresses

Primary practice location

2760 S Elm Ave
Fresno, CA 93706-5435

Mailing address

2760 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5300

Other names 1

  • Kristeen Leigh Go Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905003323 CA Practitioner - Nurse Practitioner 7618330838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026553CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Aug 21, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Aug 21, 2023 Accepting new patients

Locations

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

2760 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5300

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

Organizations & group practices 3

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1891473708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5300",
            "fax_number": "559-457-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5300",
            "fax_number": "559-457-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALATRISTE",
        "first_name": "KRISTEEN",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95026553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEEN",
            "last_name": "GO",
            "middle_name": "LEIGH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.