Active NPI
Kristen Herina, APRN, FNP-BC
- Family Nurse Practitioner
- Elsberry, MO
National Provider Identifier
1912417569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017036302
- Practice address
- 106 Broadway St
Elsberry, MO 63343-1345 - Phone
- (573) 898-9100
- NPI assigned
- Oct 10, 2017
- Last updated
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017036302 | MO | Primary |
Addresses
Primary practice location
106 Broadway St
Elsberry, MO 63343-1345
Mailing address
706 Longhorn Dr
O Fallon, MO 63368-6961
Phone (636) 448-4733
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017036302 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1912417569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 LONGHORN DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686961",
"telephone_number": "636-448-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BROADWAY ST",
"city": "ELSBERRY",
"state": "MO",
"postal_code": "633431345",
"telephone_number": "573-898-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERINA",
"first_name": "KRISTEN",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017036302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elsberry, MO
- Dejace Enterprises Inc (Elsberry Pharmacy LTC)
- Dejace Enterprises Inc
- Elsberry Missouri Health Care Center, Inc.
- Goddard Chiropractic LLC (Zephyr Sport and Spine)
- Jessica Goddard, DC
- Indycare Carelink PC
- Lifenet, Inc. (ARCH Air Medical Services)
- Lincoln County Memorial Hospital (Elsberry Family Health)
- Lincoln County R2 School District (School District R-II Elsberry)
- Mercy Hospital Lincoln (Mercy Hospital Lincoln Family Medicine Elsberry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.