1. Home
  2. Directory
  3. Massachusetts
  4. Medford
  5. Nurse Practitioner
  6. NPI Profile

KRYSTAL CARLSON
NPI 1083589071
Nurse Practitioner - Psychiatric/Mental Health in Medford, MA

Active since October 08, 2025
10 CABOT RD STE 201, MEDFORD, MA 02155(800) 915-3211 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2026, Oct 8, 2025 (2 updates tracked since 2025).

About Krystal Carlson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL CARLSON (NPI 1083589071) is an individual psychiatric/mental health provider in Medford, Massachusetts, licensed in Massachusetts (RN283093) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1083589071
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRYSTAL CARLSON
Location Address10 CABOT RD STE 201Medford, MA 02155-5173
Mailing Address10 Cabot Rd Ste 201Medford, MA 02155-5173 · (800) 915-3211
Phone(800) 915-3211
Sole ProprietorYes
Enumeration DateOctober 8, 2025
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1083589071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN283093
10 CABOT RD STE 201, Medford, MA 02155
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INNOVIVE HEALTH OF MASSACHUSETTS LLC
Home Health
10 CABOT RD STE 201
MEDFORD, MA 02155
Middlesex County (800) 915-3211
MR. BRIAN JOHN GRACE PMHNP-BC, MBA, RN
Nurse Practitioner (Psychiatric/Mental Health)
10 CABOT RD STE 201
MEDFORD, MA 02155
Middlesex County (800) 915-3211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Carlson's NPI number?

The NPI number for Krystal Carlson is 1083589071. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Krystal Carlson located?

Krystal Carlson practices at 10 Cabot Rd Ste 201, Medford, MA 02155. The listed phone number is (800) 915-3211.

What is Krystal Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Krystal Carlson was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.