MS. KRISTI VANDER HYDE NP NPI 1225030497

NPI Information

NPI: 1225030497
Provider Name: MS. KRISTI VANDER HYDE, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
7300 DEXTER-ANN ARBOR RD
DEXTER, MI
ZIP 48130
Phone: (734) 426-2796
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MS. Kristi Vander Hyde, NP is a primary care nurse practitioner in Dexter, MI with 23 years of experience. MS. Kristi Vander Hyde, NP NPI is 1225030497. 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:

7300 DEXTER-ANN ARBOR RD
DEXTER, MI
ZIP 48130-598
Phone: (734) 426-2796

The NPI 1225030497 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 6/1/2005 and was last updated on 12/31/2015.

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	363L00000X	Nurse Practitioner		4704157442	MICHIGAN	No
2	363LC1500X	Nurse Practitioner	Community Health	4704157442	MICHIGAN	No
3	363LP2300X	Nurse Practitioner	Primary Care	4704157442	MICHIGAN	Yes

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	4851610	MEDICAID	MICHIGAN
2	104702549	MEDICAID	MICHIGAN
3	0860085	OTHER	MICHIGAN	BCBS OF MICHIGAN
4	P67573	MEDICARE UPIN	MICHIGAN

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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