KRISTEN ASHLEY HALTOM RN NPI 1689196255

NPI Information

  • NPI: 1689196255
  • Provider Name: KRISTEN ASHLEY HALTOM, RN
  • Classification: Registered Nurse - 163WA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2979 ALLIED ST SUITE C
    GREEN BAY, WI
    ZIP 54304
  • Phone: (920) 337-6740

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NPI Details

Kristen Ashley Haltom, RN is an addiction (substance use disorder) registered nurse in Green Bay, WI. Kristen Ashley Haltom, RN NPI is 1689196255. 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:

2979 ALLIED ST SUITE C
GREEN BAY, WI
ZIP 54304
Phone: (920) 337-6740

The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/21/2022.

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
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)233644-30WISCONSINYes

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
1391498501MEDICAIDWISCONSIN

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: 11/21/2025

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