Basic Information
| Provider Information | |||||||||
| NPI: | 1457327702 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GASTER | ||||||||
| FirstName: | KRISTINE | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | CNP, MS, CS, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 86370 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571186370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 E. 21ST ST., | ||||||||
| Address2: | STE. 1200 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 57105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053223035 | ||||||||
| FaxNumber: | 6053223036 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 01/15/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 0176 | SD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
ID Information
| ID | Type | State | Issuer | Description | 0007816 | 01 | SD | BLUE CROSS | OTHER | 004963800 | 05 | MN | MEDICAID | 34602 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 678061027116 | 01 | SD | PREFERRED ONE | OTHER | HP33229 | 01 | SD | HEALTHPARTNERS | OTHER | 370624200 | 01 | SD | DEPT OF LABOR | OTHER | 231845 | 01 | SD | MIDLANDS CHOICE | OTHER | 48D77GA | 01 | MN | BLUE CROSS | OTHER | 48D77GA | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | 0404449 | 01 | SD | MEDICA | OTHER | 0536219 | 05 | IA | MEDICAID | 500018156 | 01 | SD | RR MEDICARE | OTHER | 6823070 | 05 | SD | MEDICAID | 92411422911 | 01 | MN | PRIMEWEST | OTHER | 1341917 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 46022474342 | 05 | NE | MEDICAID | 57105AH04 | 01 | SD | WPS TRICARE | OTHER | 9249261 | 01 | SD | DAKOTACARE | OTHER |