Individual provider Active NPI

Krystle Nicole Huron, FNP-C

  • Family Nurse Practitioner
  • Charleston AFB, SC
National Provider Identifier
1497507594
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28604 Issued in SC
Practice address
1162A Arnold Cir
Charleston AFB, SC 29404-2101
Phone
(402) 949-2553
NPI assigned
Apr 2, 2024
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28604 SC Primary

Addresses

Primary practice location

1162A Arnold Cir
Charleston AFB, SC 29404-2101

Mailing address

PO Box 740013
Atlanta, GA 30374-0013
Phone (773) 644-3941

Other practice location 1

4400 Dorchester Rd Ste 117
Charleston, SC 29405-6930
Phone (843) 278-8291

Other names 1

  • Miss Krystle Nicole Galindo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702003347 SC Practitioner - Nurse Practitioner 1759825631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Healthcare of Charleston LLCGroup PAC ID 7416130703, 5 clinicians
Oak Street Health Physicians Group of South Carolina LLCGroup PAC ID 3375959075, 31 clinicians

Practice addresses (Care Compare)

122 S Goose Creek Blvd
Suite B
Goose Creek, SC 29445-3136
Phone (843) 553-2211

4400 Dorchester Rd
Suite 117
Charleston, SC 29405-6930
Phone (843) 278-8291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of South Carolina, LLC Family CurrentSince Sep 15, 2025 Accepting new patients
PM Health Alliance, LLC CurrentSince Aug 1, 2024 Accepting new patients
Advantage Healthcare of Charleston LLC CurrentSince Sep 16, 2024 Accepting new patients
Gray's Pain Relief Center, LLC PastSince Sep 16, 2024 Accepting new patients

Locations

122 S Goose Creek Blvd
#B
Goose Creek, SC 29445
Phone (843) 553-2211

588 Old Mount Holly Rd
Goose Creek, SC 29445
Phone (843) 376-5595

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

4400 Dorchester Rd
Ste 117
North Charleston, SC 29405
Phone (843) 278-8291

106 Gosling Way
Ste E
Summerville, SC 29486

2039 N Main St
Summerville, SC 29486
Phone (843) 771-2024

Organizations & group practices 4

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1497507594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740013",
            "telephone_number": "773-644-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162A ARNOLD CIR",
            "city": "CHARLESTON AFB",
            "state": "SC",
            "postal_code": "294042101",
            "telephone_number": "402-949-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Dorchester Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294056930",
            "country_code": "US",
            "telephone_number": "843-278-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURON",
        "first_name": "KRYSTLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "GALINDO",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston AFB, SC

Sources for this page

Verify at the official NPI Registry.