Active NPI
Krystle Cummins, R.N.,
- Plastic Surgery Registered Nurse
- Orange, CA
National Provider Identifier
1033642434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- 95044027
- Practice address
- 230 S Main St
Orange, CA 92868-3851 - Phone
- (714) 978-2445
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | 95044027 | CA | Primary |
Addresses
Primary practice location
230 S Main St
Orange, CA 92868-3851
Mailing address
230 S Main St
Orange, CA 92868-3851
Phone (714) 978-2445
Other names 1
- Krystle Hasan
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95044027 | CA | MD | Plastic Surgery Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1033642434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683851",
"telephone_number": "714-978-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683851",
"telephone_number": "714-978-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "KRYSTLE",
"name_prefix": "Mrs.",
"credential": "R.N.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "CA",
"license": "95044027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRYSTLE",
"last_name": "HASAN",
"credential": "R.N",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.