Individual provider Active NPI

Kristine Nicole Tomlinson-Miles, NP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • East Lansing, MI
National Provider Identifier
1023529427
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
4704302422 Issued in MI
Practice address
808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322
Phone
(517) 706-2447
Fax
(517) 201-1659
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704302422 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704302422 MI

Addresses

Primary practice location

808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322

Mailing address

912 Stuart Ave
East Lansing, MI 48823-3144

Other practice location 1

463 E Circle Dr
East Lansing, MI 48824-7500
Phone (517) 884-6546

Other identifiers 1

IdentifierTypeStateIssuer
D16078446MedicaidMI

Other names 1

  • Kristine Crawford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106000937 MI Practitioner - Nurse Practitioner 3779849849 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704302422MIMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Mar 1, 2022 Accepting new patients
Michigan State University CurrentSince Mar 1, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Aug 26, 2021 Accepting new patients
Sage Services LLC Psychiatric/Mental Health, Adult CurrentSince Oct 3, 2023 Accepting new patients
Metropolitan Hospital CurrentSince Dec 1, 2017 Accepting new patients

Locations

463 E Circle Dr
East Lansing, MI 48824
Phone (517) 355-8237

463 E Circle Dr
Rm 102
East Lansing, MI 48824
Phone (517) 884-6546

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

808 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 575-9428

1787 Grand Ridge Ct NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 252-4540

710 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 425-1276

4655 Dobie Rd
Ste 270
Okemos, MI 48864
Phone (517) 381-5360

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: kmiles67308@direct.metrohealth.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1023529427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 STUART AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236322",
            "telephone_number": "517-706-2447",
            "fax_number": "517-201-1659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 E Circle Dr",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488247500",
            "country_code": "US",
            "telephone_number": "517-884-6546",
            "fax_number": "517-432-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMLINSON-MILES",
        "first_name": "KRISTINE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704302422",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704302422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D16078446",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "CRAWFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.