Krystina M Mints, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R160139 Issued in MD

Practice address

3100 Mountain Rd
Suite E
Pasadena, MD 21122-2018

Phone

(410) 360-4446

Fax

(410) 360-4449

NPI assigned

Sep 7, 2006

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

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Interoperability endpoints

• Direct secure messaging: kmints8504@direct.hopkinsmedicine.org
• FHIR API: https://api.platform.athenahealth.com/6914/brand/1/csg/1/fhir/r4

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.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1285737775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD",
            "address_2": "SUITE E",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446",
            "fax_number": "410-360-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD",
            "address_2": "SUITE E",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446",
            "fax_number": "410-360-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTS",
        "first_name": "KRYSTINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R160139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "521116591",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICIANS CARE",
            "identifier": "521116591",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "759524",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CF BC/BS GRP/GHMSI/BL CHO",
            "identifier": "T5880038",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "521116591",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6560084",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "112728",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS RENDERING",
            "identifier": "61308701",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "521116591",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784381000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W6420009",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Donald Martin Miller Jr., PTA
• Shelby Miller
• Susan Christine Miller, C.R.N.P
• Minuteclinic LLC
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• Kelly Moore, PHARMD
• Marquita Moore, MSOT, OTR/L
• Rigel Alinda Moore

• Nurse Practitioner in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.