Active NPI
Krystal Lynn Haseltine
- Counselor
- Nashville, TN
National Provider Identifier
1861080434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 44 Vantage Way
Nashville, TN 37228-1513 - Phone
- (931) 247-8926
- NPI assigned
- Jan 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
44 Vantage Way
Nashville, TN 37228-1513
Mailing address
29 Maple St
Clarksville, TN 37042-6420
Phone (931) 538-8525
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krystal.haseltine@centerstone.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1861080434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MAPLE ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426420",
"telephone_number": "931-538-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 VANTAGE WAY",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281513",
"telephone_number": "931-247-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASELTINE",
"first_name": "KRYSTAL",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krystal.haseltine@centerstone.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44 Vantage Way",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372281513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.