Individual provider Active NPI

Crestina Thaurille, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1013841709
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
975775-01 Issued in NY
Practice address
1035 Clarkson Ave Apt 5F
Brooklyn, NY 11212-1410
Phone
(347) 496-8820
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 975775-01 NY Primary

Addresses

Primary practice location

1035 Clarkson Ave Apt 5F
Brooklyn, NY 11212-1410

Mailing address

1035 Clarkson Ave Apt 5F
Brooklyn, NY 11212-1410
Phone (347) 496-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1013841709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 CLARKSON AVE APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121410",
            "telephone_number": "347-496-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 CLARKSON AVE APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121410",
            "telephone_number": "347-496-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAURILLE",
        "first_name": "CRESTINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "975775-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.