Individual provider Active NPI

Krystle Lee Disorbo, NP

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1033648738
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
066034-23 Issued in NH
Practice address
3201 Lafayette Rd
Portsmouth, NH 03801-6078
Phone
(603) 380-9159
NPI assigned
Jun 6, 2017
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2279609 MA
Family Nurse Practitioner 363LF0000X 066034-23 NH Primary

Addresses

Primary practice location

3201 Lafayette Rd
Portsmouth, NH 03801-6078

Mailing address

3201 Lafayette Rd
Portsmouth, NH 03801-6078
Phone (603) 380-9159

Other names 1

  • Mrs. Krystle Lemire Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2279609MAMDAdult Health Nurse Practitioner
066034-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Surgical Center, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

944 Calef Hwy
Barrington, NH 03825
Phone 6036640100118

270 Lafayette Rd
Rye, NH 03870
Phone (603) 319-1581

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1033648738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016078",
            "telephone_number": "603-380-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016078",
            "telephone_number": "603-380-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISORBO",
        "first_name": "KRYSTLE",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2279609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "066034-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "LEMIRE",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.