DR. KRISTIN W HOUSEKNECHT M.D. NPI 1538489869

NPI Information

NPI: 1538489869
Provider Name: DR. KRISTIN W HOUSEKNECHT, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1225 E COOLSPRING AVE
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 873-2919
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DR. Kristin W Houseknecht, M.D. is a general practice in Michigan City, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Kristin W Houseknecht, M.D. NPI is 1538489869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1225 E COOLSPRING AVE
MICHIGAN CITY, IN
ZIP 46360-312
Phone: (219) 873-2919
Fax: (219) 873-2909

The NPI 1538489869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2010 and was last updated on 1/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	125.087911	ILLINOIS	No
2	208D00000X	General Practice		01077086A	INDIANA	Yes
3	208D00000X	General Practice		ME108909	FLORIDA	No
4	390200000X	Student in an Organized Health Care Education/Training Program		TRN14997	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M147140067	MEDICARE PIN	INDIANA
2	201398420	MEDICAID	INDIANA
3	000001052783	OTHER	INDIANA	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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