KRYSTALYN R. BATES DO – NPI #1053972695
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

KRYSTALYN BATES is a physician located in MERIDEN, CT. NPPES has assigned the NPI number 1053972695 to KRYSTALYN BATES on June 25, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on May 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KRYSTALYN BATES below.

NPI Profile for
KRYSTALYN R. BATES

NPI Number
1053972695
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KRYSTALYN R. BATES
Credentials
DO
Primary location
883 PADDOCK AVE
MERIDEN, CT 06450-7044
Phone: (203) 634-7020 Fax:
Mailing address
800 ATLANTIC AVE APT 1
LONG BEACH, CA 90813-4580
Phone: (916) 206-9459 Fax:
Sole Proprietor
No
Updated
Certification Date
May 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)
CT 73263
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.