Active NPI
Krystal Lafara Mutter, APRN
- Adult Psychiatric/Mental Health Registered Nurse
- Glasgow, KY
National Provider Identifier
1811833361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 1131522
- Practice address
- 1184 Green Valley Rd
Glasgow, KY 42141-8098 - Phone
- (270) 454-0570
- NPI assigned
- Apr 27, 2026
- Last updated
- Apr 27, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 1131522 | KY | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 1131522 | KY | Primary |
Addresses
Primary practice location
1184 Green Valley Rd
Glasgow, KY 42141-8098
Mailing address
1184 Green Valley Rd
Glasgow, KY 42141-8098
Phone (270) 454-0570
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 |
|---|---|---|---|
| 1131522 | KY | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1811833361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1184 GREEN VALLEY RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421418098",
"telephone_number": "270-454-0570",
"fax_number": "888-759-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1184 GREEN VALLEY RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421418098",
"telephone_number": "270-454-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTTER",
"first_name": "KRYSTAL",
"middle_name": "LAFARA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "KY",
"license": "1131522",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "KY",
"license": "1131522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.