KRISTAL L MYLIN (NPI# 1821405671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821405671 |
| Entity Type | Individual |
| Full Name | KRISTAL L MYLIN |
| Other Name | KRISTAL L GEARHART |
| Credential | PA |
| Practice Address |
3500 S Lafountain St Kokomo IN 46902-3803 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7657763020 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10001675A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001675A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 University Blvd, Uh 1501, Indianapolis, IN 462025149 | 3179481310 | 3179480503 |
| Street Address |
3500 S LAFOUNTAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099868 | Cathy J Simms | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2005-11-09 |
| 1366043911 | Chelsea M Gustafson | Pharmacist | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-11-02 |
| 1700409257 | Rachelle Goddard | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-05-19 |
| 1144878612 | Ellman Barkley Holder | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2019-08-28 |
| 1023598307 | Alannah Scott | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2018-08-16 |
| 1487173936 | Mid America Clinical Laboratories LLC | Clinical Medical Laboratory | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-09-15 |
| 1639691413 | Ginger Ann Smith | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-07-12 |
| 1700325586 | Community Howard Regional Health, Inc | Clinic/Center | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-02-14 |
| 1760925762 | Howard Community Ambulance Service | Ambulance | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-11-22 |
| 1881054575 | Heather Hare | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325098 | J Benjamin Matheny | Physician Assistant | 3508 S Lafountain St, Kokomo, IN 46902-3803 | 2005-09-08 |
| 1881756344 | Jeanne M Lukac | Physician Assistant | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
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| 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.