Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Whiteside

Individual provider Registered Nurse · NPI 1083325237

Kristen Whiteside is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
4
Licensed in
MI, OH
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 433 W High St, Bryan, OH 43506-1690 — (419) 636-1131

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.0020732 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 4704312224 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 475580 (OH)

Record details

NPI number1083325237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2022
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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