Active NPIIndividual providerSole proprietor

Krystal Carlson

Nurse Practitioner, Psych/Mental Health in Medford, Massachusetts

NPI Number1083589071
Practice location
10 Cabot RD Ste 201, Medford, MA 02155-5173
Fax
—
Last updated
January 27, 2026

Krystal Carlson is a Nurse Practitioner, Psych/Mental Health based in Medford, MA. Krystal Carlson practices in Medford, MA. The NPI Number for Krystal Carlson is 1083589071 and holds a License No. RN283093 (MA). The current practice location address for Krystal Carlson is 10 Cabot RD Ste 201, Medford, MA 02155-5173 and can be reached out via phone at 800-915-3211.

Provider Profile Details

NPI Number
1083589071
Provider Name
Krystal Carlson
Provider Entity Type
Individual
Gender
Female
Address
10 Cabot RD Ste 201, Medford, MA 02155-5173
Phone Number
800-915-3211
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2025
Last Update Date
January 27, 2026
Certification Date
January 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Cabot RD Ste 201
Medford, MA 02155-5173
Zip
02155-5173
Phone Number
800-915-3211
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
10 Cabot RD Ste 201
Medford, MA 02155-5173
City
Medford
State
MA
Zip
02155-5173
Phone Number
800-915-3211

License Information

License Number
RN283093
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Krystal Carlson?

The NPI number of Krystal Carlson is 1083589071. It was assigned on October 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Krystal Carlson?

Krystal Carlson is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN283093.

Where does Krystal Carlson practice?

The practice location is 10 Cabot RD Ste 201, Medford, MA 02155-5173. The office can be reached at 800-915-3211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083589071 directly on the NPPES registry website.

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