MRS. KRISTINE K WAILGUM APRN
NPI 1477524031
Nurse Practitioner - Adult Health in Longmeadow, MA

Active since January 31, 2006
770 CONVERSE ST, LONGMEADOW, MA 01106(413) 567-3949(413) 567-0175 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kristine K Wailgum Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTINE K WAILGUM APRN (NPI 1477524031) is an individual adult health provider in Longmeadow, Massachusetts, licensed in Massachusetts (110009) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1477524031
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KRISTINE K WAILGUMCredential: APRN
Location Address770 CONVERSE STLongmeadow, MA 01106-1719
Mailing AddressPo Box 789Ludlow, MA 01056-0789 · (413) 509-1000 · Fax (413) 509-1003
Fax(413) 567-0175
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateOctober 25, 2011
NPI 1477524031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MA · 110009
770 CONVERSE ST, Longmeadow, MA 01106

Other Identifiers 7

Medicare UPINP14013
Medicaid0710296MA
OtherNP2697MA · Blue Cross
Medicare PINUX2001MA
Other8303930MA · Evercare
Medicare PINP00447412
Medicare PINNP2697MA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
770 CONVERSE ST
LONGMEADOW, MA 01106
Nurse Practitioner
770 CONVERSE ST
LONGMEADOW, MA 01106
Nurse Practitioner
770 CONVERSE ST
LONGMEADOW, MA 01106
Occupational Therapist
770 CONVERSE ST
LONGMEADOW, MA 01106
Internal Medicine (Geriatric Medicine)
770 CONVERSE ST
LONGMEADOW, MA 01106
Occupational Therapist
770 CONVERSE ST
LONGMEADOW, MA 01106
Physical Therapist
770 CONVERSE ST, JEWISH NURSING HOME
LONGMEADOW, MA 01106
Home Health
770 CONVERSE ST
LONGMEADOW, MA 01106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Wailgum's NPI number?

The NPI number for Kristine Wailgum is 1477524031. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Kristine Wailgum located?

Kristine Wailgum practices at 770 Converse St, Longmeadow, MA 01106. The listed phone number is (413) 567-3949.

What is Kristine Wailgum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kristine Wailgum was last updated on October 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.