Keith Michael Krist, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME85707 Issued in FL

Practice address

1005 Mar Walt Drive
Pediatric Department
Fort Walton Beach, FL 32547

Phone

(850) 863-8203

Fax

(850) 862-0977

NPI assigned

Dec 13, 2005

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keithkrist@nmhs.medalliesdirect.net
• Direct secure messaging: drkrist@pensacolapeds.opdirect.net

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.

• Clay County Medical Corporation

  • Emergency Care Clinic/Center
  • West Point, MS
  • NPI 1578670972
  Medicare reassignment NPD
• Clay County Medical Corporation

  • Surgery Physician
  • West Point, MS
  • NPI 1164961330
  NPD
• Clay County Medical Corporation

  • Ophthalmology Physician
  • West Point, MS
  • NPI 1174353247
  NPD
• Clay County Medical Corporation

  • Anesthesiology Physician
  • West Point, MS
  • NPI 1396852695
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Taos Health Systems Inc Holy Cross

  • Internal Medicine Physician
  • Taos, NM
  • NPI 1639310436
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)
• Taos Professional Services,LLC

  • Surgery Physician
  • Taos, NM
  • NPI 1891070777
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1790760841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DRIVE",
            "address_2": "PEDIATRIC DEPARTMENT",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-863-8203",
            "fax_number": "850-862-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DRIVE",
            "address_2": "PEDIATRIC DEPARTMENT",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-863-8203",
            "fax_number": "850-862-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIST",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME85707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265080100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "51445",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Kracht, D.C.
• Matthew Adam Kreamer
• Laila Krech, PT, DPT, ATC
• Brieanne Nichole Kremer
• Kari Kremer, SLP
• Victoria Krummel
• Laveesha Kumari, MBBS
• Cindy S L'Abbe, MSW
• Christina Kordogianni Laborde, LCSW
• Jade Laborde

• Pediatrics Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.

Verify at the official NPI Registry.