Individual provider Active NPI

Katherine Barbara Krive, D.O.

  • Child & Adolescent Psychiatry Physician
  • Lansing, MI
National Provider Identifier
1972893824
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
5101019421 Issued in MI
Practice address
1612 W Shiawassee St
Lansing, MI 48915-1271
Phone
(517) 803-3314
Fax
(612) 500-4648
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 5101019421 MI Primary

Addresses

Primary practice location

1612 W Shiawassee St
Lansing, MI 48915-1271

Mailing address

1612 W Shiawassee St
Lansing, MI 48915-1271
Phone (517) 803-3314

Other identifiers 1

IdentifierTypeStateIssuer
1972893824MedicaidMI

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
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine B. Krive, DO, PLLC Child & Adolescent Psychiatry CurrentSince Jun 6, 2021 Accepting new patients

Locations

801 S Waverly Rd
Ste 303
Lansing, MI 48917
Phone (517) 282-0771

801 S Waverly Rd
Ste 100
Lansing, MI 48917
Phone (517) 886-5511

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, 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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1972893824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 W SHIAWASSEE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151271",
            "telephone_number": "517-803-3314",
            "fax_number": "612-500-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 W SHIAWASSEE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151271",
            "telephone_number": "517-803-3314",
            "fax_number": "612-500-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVE",
        "first_name": "KATHERINE",
        "middle_name": "BARBARA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "5101019421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972893824",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.