Kristin Deely, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R151190 Issued in MD

Practice address

400 West 7TH Street
Cardiac Cath Lab 2ND Floor
Frederick, MD 21701

Phone

(240) 566-3079

NPI assigned

Mar 24, 2018

Last updated

Mar 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521849600000",
    "number": "1063917938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST 7TH STREET",
            "address_2": "CARDIAC CATH LAB 2ND FLOOR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST 7TH STREET",
            "address_2": "CARDIAC CATH LAB 2ND FLOOR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "240-566-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEELY",
        "first_name": "KRISTIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2018-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R151190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Marie Deboer, LMFT
• Miguel Decastro
• Vivian C. Dechosa, M.D.
• Deck Pain Management , LLC
• Helen Decker, RBT
• Laura Lynn Thomas Defeo
• Ryan Defibaugh, LCPC, NCC
• Defining You Therapy and Consulting
• Emma Lee Patricia Defreitas, RN
• Roy Degrange Jr.

• Acute Care Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; 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.