Krystal Danae Skinner, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

287274 Issued in AZ

Practice address

405 E Beale St
Kingman, AZ 86401-5833

Phone

(928) 723-3354

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krystal Danae Horn Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Southwest Behavioral Health Services IncGroup PAC ID 9739075854, 49 clinicians

Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krystal.skinnerrnbhp.p1@direct.cbridges.nextgenshare.com

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.

• Community Bridges, Inc.

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Southwest Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1144384389

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lights on Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingman, AZ
  • NPI 1427757699

  Single Specialty

  NPD Authorized official
• Community Bridges, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
  • NPI 1861722175

  Single Specialty

  NPD
• Community Bridges, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Benson, AZ
  • NPI 1255900189
  NPD
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1427596196

  Single Specialty

  NPD
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Southwest Behavioral Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1316170368
  NPD
• Southwest Behavioral Health Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Kingman, AZ
  • NPI 1023556339
  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1851098115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E BEALE ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015833",
            "telephone_number": "928-723-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E BEALE ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015833",
            "telephone_number": "928-723-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KRYSTAL",
        "middle_name": "DANAE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "287274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "HORN",
            "middle_name": "DANAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emanuel Silva, MD
• Silver Ridge Perinatal Center, Inc.
• Andrea Terese Sims
• Francesco Joseph Sinopoli, D.C.
• Prashanth Sirigere Manjunath, M.D
• Marvin Edgar Slack II, DO
• Sam Willden Slade
• Sleep Better Southwest PLLC
• Slimming Grace LLC
• Jill Diane Smith-Perez

• Psychiatric/Mental Health Nurse Practitioner in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.