Krystallin Clausen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

787655 Issued in TX

Practice address

7400 Viscount Blvd Ste 200
El Paso, TX 79925-4851

Phone

(915) 629-9260

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic Health Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1407922701
  NPD (past)
• Epic Health Services, Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1760706899
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1013497528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 VISCOUNT BLVD STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799254851",
            "telephone_number": "915-629-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSEN",
        "first_name": "KRYSTALLIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "787655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristey Lee Clark
• Regina Collette Clark, LMSW
• Karina Clarke
• Editha Abrenilla Claros, N.P.
• Samuel Clarot, DDS MD
• Shelbie Claycomb
• David Clayden, DDS, MSD
• Claymore Counseling, PLLC
• Clear Route Medical Transportation LLC
• Clear Vision Optical, LTD

• Registered Nurse in El Paso, TX
• Providers in El Paso, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.