Active NPI
Kristzina L Morin, DO
- Emergency Medicine Physician
- Harrington, ME
National Provider Identifier
1255338968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 00609
- Practice address
- 50 E Main St
Harrington, ME 04643-3043 - Phone
- (207) 483-4502
- Fax
- (207) 483-4778
- NPI assigned
- Jul 7, 2005
- Last updated
- Oct 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00609 | ME | Primary |
Addresses
Primary practice location
50 E Main St
Harrington, ME 04643-3043
Mailing address
50 E Main St
Harrington, ME 04643-3043
Phone (207) 483-4502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00609 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Caribou | Current | Accepting new patients |
Locations
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227
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": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1255338968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E MAIN ST",
"city": "HARRINGTON",
"state": "ME",
"postal_code": "046433043",
"telephone_number": "207-483-4502",
"fax_number": "207-483-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E MAIN ST",
"city": "HARRINGTON",
"state": "ME",
"postal_code": "046433043",
"telephone_number": "207-483-4502",
"fax_number": "207-483-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "KRISTZINA",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "00609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.