KRYSTAL LEE BAUM (NPI# 1346601168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346601168 |
| Entity Type | Individual |
| Full Name | KRYSTAL LEE BAUM |
| Credential | FNP-C |
| Practice Address |
8895 Broadway Merrillville IN 46410-7037 |
| Practice Telephone | 2197382081 |
| Practice Fax Number | 2197364658 |
| Mailing Telephone | 2197382081 |
| Mailing Fax Number | 2197364658 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28180105A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006179A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0915531 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 S Lake Park Ave, Hobart, IN 463426638 | 2199476795 |
| Street Address |
8895 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343578 | Ahmad Bassel Shughoury | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2005-06-01 |
| 1841524683 | Yun Ju Kim | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2009-09-27 |
| 1336165406 | Kathryn M Gjeldum | Nurse Practitioner | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-14 |
| 1679508410 | Marianne K Schallmo | Nurse Practitioner | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-11 |
| 1235160938 | Ima Endoscopy Surgicenter P C | Clinic/Center | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-05 |
| 1487685178 | Internal Medicine Associates | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-05 |
| 1922076702 | Tamara Joy Elkins | Nurse Practitioner | 8895 Broadway, Merrillville, IN 46410 | 2006-03-09 |
| 1992770390 | Mark Fesenmyer | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-02-20 |
| 1225013972 | Omar Said Nehme | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2005-12-14 |
| 1326043597 | Peter George Mavrelis | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2005-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425364 | Jilaina J Talylor | Nurse Practitioner | 5490 Broadway Ste 106, Merrillville, IN 46410-1676 | 2020-07-23 |
| 1215550546 | Shannon Lynn Knight | Nurse Practitioner | 1413 W 82nd Pl, Merrillville, IN 46410-5274 | 2020-05-21 |
| 1922634609 | Donna J Peck | Nurse Practitioner | 2405 W 60th Dr, Merrillville, IN 46410-2143 | 2020-03-13 |
| 1295207298 | Monique Mansfield | Nurse Practitioner | 5118 E Lincoln Hwy, Merrillville, IN 46410-5915 | 2019-01-02 |
| 1821574187 | Stephanie M Howard | Nurse Practitioner | 609 W 77th Ave, Merrillville, IN 46410-5776 | 2018-07-19 |
| 1710499298 | Christy Marie Kersey | Nurse Practitioner | 371 E 84th Dr # 371, Merrillville, IN 46410 | 2017-10-24 |
| 1598284820 | Jose Angel Rodriguez Jr. | Nurse Practitioner | Informe Healthcare In, LLC, 8800 Virginia Pl, Merrillville, IN 46410-7109 | 2017-09-19 |
| 1982052866 | Kenneth James Scott | Nurse Practitioner | 333 W. 89th Avenue, Suite W-5, Merrillville, IN 46410 | 2016-06-01 |
| 1679966030 | Regina Nelson | Nurse Practitioner | 3147 W 65th Ave, Merrillville, IN 46410-2978 | 2015-03-10 |
| 1275875080 | Elana Harris | Nurse Practitioner | 276 E 68th Pl, Merrillville, IN 46410-3566 | 2013-03-19 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on KRYSTAL LEE BAUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.