KRYSTLE MABEE (NPI# 1750755179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750755179 |
| Entity Type | Individual |
| Full Name | KRYSTLE MABEE |
| Credential | FNP |
| Practice Address |
475 State Route 17m Monroe NY 10950-4169 |
| Mailing Address |
707 E Main St Middletown NY 10940-2650 |
| Practice Telephone | 8453337830 |
| Practice Fax Number | 8453337475 |
| Mailing Telephone | 8453337575 |
| Mailing Fax Number | 8453337139 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 340106 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340106 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04401727 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 707 E Main St, Middletown, NY 109402650 | 8453337575 | 8453337139 |
| Street Address |
475 STATE ROUTE 17M |
| City | MONROE |
| State | NY |
| Zip Code | 10950-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659356715 | Kaushal Shah | Internal Medicine | 475 State Route 17m, Monroe, NY 10950-4169 | 2005-12-13 |
| 1902120280 | Raquel Castillo-rodriguez | Nurse Practitioner | 475 State Route 17m, Monroe, NY 10950-4169 | 2010-03-16 |
| 1932431863 | Boyoung Choi | Pharmacist | 475 State Route 17m, Monroe, NY 10950-4169 | 2010-02-03 |
| 1437307162 | Deborah Mason | Pharmacist | 475 State Route 17m, Monroe, NY 10950-4169 | 2008-09-06 |
| 1366612863 | Joseph Charles Chavez Carey | Family Medicine | 475 State Route 17m, Monroe, NY 10950-4169 | 2008-03-11 |
| 1548445703 | Susan S Qu | Pharmacist | 475 State Route 17m, Monroe, NY 10950-4169 | 2008-01-07 |
| 1578742797 | Plaza Optical of Monroe, Inc | Optometrist | 475 State Route 17m, Plaza Optical, Monroe, NY 10950-4169 | 2007-10-25 |
| 1427249051 | Plaza Optical of Monroe, Inc | Clinic/Center | 475 State Route 17m, Monroe, NY 10950-4169 | 2007-08-08 |
| 1649491994 | Betsy Utnick | Technician/Technologist | 475 State Route 17m, Plaza Optical, Monroe, NY 10950-4169 | 2007-05-02 |
| 1518187566 | Paul Howard Utnick | Technician/Technologist | 475 State Route 17m, Plaza Optical, Monroe, NY 10950-4169 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
| Find all providers in MONROE | ||||
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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.