MRS. KIMBERLEY DENISE CRISS FNP-BC
NPI 1578850905
Nurse Practitioner - Family in Fairview Heights, IL
About Mrs. Kimberley Denise Criss Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLEY DENISE CRISS FNP-BC (NPI 1578850905) is an individual family provider in Fairview Heights, Illinois, licensed in Illinois (209006842) and active in the NPI registry since July 2011.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
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 Kimberley Criss's NPI number?
The NPI number for Kimberley Criss is 1578850905. It was assigned to this individual provider in the NPPES registry on July 6, 2011.
Where is Kimberley Criss located?
Kimberley Criss practices at 5031 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 212-6800.
What is Kimberley Criss's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Kimberley Criss was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kimberley Denise Criss, FNP-BC · NPI 1578850905
Family physician in Fairview Heights, Illinois. Individual provider, active in the CMS NPPES registry since July 6, 2011.
## Identity
- **NPI:** 1578850905 (Entity type: Individual)
- **Enumerated:** July 6, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209006842 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5031 N ILLINOIS ST, Fairview Heights, IL 62208-3453
- **Phone:** (618) 212-6800
## Record status
- **NPPES last updated:** January 18, 2012
- **Other identifiers:** Medicare PIN IL4903007 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1578850905) · Data from the CMS NPPES public registry.