Provider Demographics
NPI:1457327702
Name:GASTER, KRISTINE I (CNP, MS, CS, RN)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:I
Last Name:GASTER
Suffix:
Gender:F
Credentials:CNP, MS, CS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1000 E. 21ST ST.,
Practice Address - Street 2:STE. 1200
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-3035
Practice Address - Fax:605-322-3036
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0176363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0007816OtherBLUE CROSS
MN004963800Medicaid
SD34602OtherSANFORD HEALTH PLAN
SD678061027116OtherPREFERRED ONE
SDHP33229OtherHEALTHPARTNERS
SD370624200OtherDEPT OF LABOR
SD231845OtherMIDLANDS CHOICE
MN48D77GAOtherBLUE CROSS
MN48D77GAOtherCC SYSTEMS/ BLUE PLUS
SD0404449OtherMEDICA
IA0536219Medicaid
SD500018156OtherRR MEDICARE
SD6823070Medicaid
MN92411422911OtherPRIMEWEST
SD1341917OtherARAZ/ AMERICA'S PPO
NE46022474342Medicaid
SD57105AH04OtherWPS TRICARE
SD9249261OtherDAKOTACARE
SD370624200OtherDEPT OF LABOR
MN48D77GAOtherBLUE CROSS