Individual provider Active NPI

Krysten Arekapudi

  • School Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1932592516
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
6054 Issued in CT
Practice address
130 Bassett St
New Haven, CT 06511-1879
Phone
(203) 492-8517
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X 6054 CT Primary

Addresses

Primary practice location

130 Bassett St
New Haven, CT 06511-1879

Mailing address

130 Bassett St
New Haven, CT 06511-1879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191114001597 TX Practitioner - Nurse Practitioner 2062844954 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Integrated Health PLLC CurrentSince Mar 17, 2024 Accepting new patients
Next Level Impact PLLC Past Accepting new patients

Locations

7948 Davis Blvd
North Richland Hills, TX 76182
Phone (817) 500-4331

7948 Davis Blvd
Ste 200
North Richlnd Hls, TX 76182
Phone (817) 500-4331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1932592516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BASSETT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BASSETT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111879",
            "telephone_number": "203-492-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREKAPUDI",
        "first_name": "KRYSTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CT",
            "license": "6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.