Active NPI
Kristal Hall, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Temple Hills, MD
National Provider Identifier
1699024117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 229292
- Practice address
- 4410 Stamp Rd Ste 105
Temple Hills, MD 20748-6700 - Phone
- (301) 316-4526
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 229202 | MD | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 229202 | MD | |
| Prosthetics Case Management | 1744P3200X | 229292 | MD | Primary |
Addresses
Primary practice location
4410 Stamp Rd Ste 105
Temple Hills, MD 20748-6700
Mailing address
4410 Stamp Rd
Suite 105
Marlow Heights, MD 20748-6700
Phone (301) 316-4526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229202 | MD | MD | Specialist |
| 229292 | MD | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1699024117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 STAMP RD",
"address_2": "SUITE 105",
"city": "MARLOW HEIGHTS",
"state": "MD",
"postal_code": "207486700",
"telephone_number": "301-316-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 STAMP RD STE 105",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207486700",
"telephone_number": "301-316-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KRISTAL",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "229202",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "229202",
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MD",
"license": "229292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.