Active NPI
Krysten Allana Chin, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- ME127313
- Practice address
- 501 6TH Ave S
St Petersburg, FL 33701-4634 - Phone
- (727) 767-8480
- Fax
- (727) 767-8420
- NPI assigned
- Mar 20, 2013
- Last updated
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | A147924 | CA | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | ME127313 | FL | Primary |
| Pediatrics Physician | 208000000X | ME127313 | FL |
Addresses
Primary practice location
501 6TH Ave S
St Petersburg, FL 33701-4634
Mailing address
501 6TH Ave S
St Petersburg, FL 33701-4634
Phone (727) 767-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147924 | CA | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| ME127313 | FL | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Pediatrics | Current | Accepting new patients |
Locations
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
Interoperability endpoints
- kchin735200@direct.hopkinsmedicine.org
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.
-
dba All Children's Specialty Physicians
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1245572965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "KRYSTEN",
"middle_name": "ALLANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CA",
"license": "A147924",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME127313",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME127313",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Lauren Childers, D.C.
- Children's Counseling Center of Tampa Bay, LLC (Child and Family Therapy Center)
- Children's Orthopaedic & Scoliosis Surgery Associates, LLP
- Children's Orthopaedic & Scoliosis Surgery Associates, LLP
- Rosharra Patrice Childs
- James Lawrence Chinarian, MD
- Carmine J. Chioccariello, RPT
- Brandon Colin Chircop
- Chiropractic and Applied Kinesiology Clinic, Inc.
- Chiropractic Care of Hyde Park Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.