Krista Lynn Conde, RN
Individual provider Active NPI Registered Nurse · Dexter, MO
NPI 1992234066 · NPPES record last updated Jun 12, 2017
Key facts
- NPI
- 1992234066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2011024571 (MO)
- Practice address
- 916 Smith St
Dexter, MO 63841-2737 - Phone
- (573) 624-6937
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011024571 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Behavioral Health Inc | Past | Accepting new patients | |
| Southeast Missouri Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2011024571 | MO | Yes |
Addresses
Primary practice location
916 Smith St
Dexter, MO 63841-2737
Mailing address
PO Box 459
Farmington, MO 63640-0459
Other providers in Dexter, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.