Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MS. KRISTY LYNN MIXAN
Active
Individual
MS. KRISTY LYNN MIXAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1422
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84366
BCBS BT
NE
01
—
84445
BCBS ENT
NE
Enumeration date
02/06/2007
Last updated
11/22/2010
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