MRS. KRYSTLE NICOLE LADD (NPI# 1700383742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700383742 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTLE NICOLE LADD |
| Credential | PMHNP |
| Practice Address |
4384 Crisfield Hwy Crisfield MD 21817-2550 |
| Practice Telephone | 4109681800 |
| Mailing Telephone | 4109681800 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R190626 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4384 CRISFIELD HWY |
| City | CRISFIELD |
| State | MD |
| Zip Code | 21817-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841466810 | Kerry Colleen Palakanis | Nurse Practitioner | 4384 Crisfield Hwy, Crisfield, MD 21817-2550 | 2008-04-30 |
| 1225404403 | Kevin Thomas Dpm PC | Podiatrist | 4384 Crisfield Hwy, Crisfield, MD 21817-2550 | 2015-08-11 |
| 1346506979 | Crisfield Clinic LLC | Nurse Practitioner | 4384 Crisfield Hwy, Crisfield, MD 21817-2550 | 2012-04-09 |
| 1215203617 | Michele I Bracken | Nurse Practitioner | 4384 Crisfield Hwy, Crisfield, MD 21817-2550 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396055539 | Heather Lee Shelton | Social Worker | 382 W. Main Street, Crisfield, MD 21817 | 2010-10-20 |
| 1336326271 | Kevin James Marsh | Counselor | 19 Mill Lane, Crisfield, MD 21817 | 2008-01-23 |
| 1770671513 | Bruce Cluff Ramsay | Dentist | 26380 Asbury Ave, Crisfield, MD 21817 | 2006-10-10 |
| 1801874300 | Terry H Passano | Dietitian, Registered | 201 Hall Highway, Crisfield, MD 21817 | 2006-01-04 |
| 1972581825 | Somerset Health Services LLC | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-01-02 |
| 1568454239 | Frank E Goldman | Pharmacist | Mccready Memorial Hospital, 201 Hall Highway, Crisfield, MD 21817 | 2005-08-18 |
| 1740519784 | Ma Amil Perilla | Physical Therapist | 201 Hall Highway, Crisfield, MD 21817 | 2009-12-22 |
| 1962593699 | Shah Mohammed Yahya | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-09-27 |
| 1841205242 | Libertad Holazo Escalante | Pediatrics | 324 W Main St, Crisfield, MD 21817 | 2006-07-31 |
| 1023058062 | Mccready Foundation, Inc | Anesthesiology | 201 Hall Hwy, Crisfield, MD 21817 | 2006-06-07 |
| Find all providers in zip 21817 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.