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KRYSTAL MIMS
NPI 1174473599
Student in an Organized Health Care Education/Training Program in Monroe, NY

Active since February 03, 2026
1235 STATE ROUTE 208, MONROE, NY 10950(609) 373-3488 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krystal Mims NPPES

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

KRYSTAL MIMS (NPI 1174473599) is an individual student in an organized health care education/training program in Monroe, New York, licensed in New York (976828918) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1174473599
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRYSTAL MIMS
Location Address1235 STATE ROUTE 208Monroe, NY 10950-4611
Mailing Address1235 State Route 208Monroe, NY 10950-4611 · (609) 373-3488
Phone(609) 373-3488
Sole ProprietorYes
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1174473599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 976828918
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1235 STATE ROUTE 208, Monroe, NY 10950
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mims's NPI number?

The NPI number for Krystal Mims is 1174473599. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Krystal Mims located?

Krystal Mims practices at 1235 State Route 208, Monroe, NY 10950. The listed phone number is (609) 373-3488.

What is Krystal Mims's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Krystal Mims was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.