Individual provider Active NPI

Crystle Regulbuto, MS IN EDUCATION

  • Specialist
  • Walden, NY
National Provider Identifier
1073267571
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
41 Copper Rock Rd
Walden, NY 12586-2478
Phone
(856) 952-5235
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

41 Copper Rock Rd
Walden, NY 12586-2478

Mailing address

41 Copper Rock Rd
Walden, NY 12586-2478
Phone (856) 952-5235

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Walden Direct

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1073267571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COPPER ROCK RD",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862478",
            "telephone_number": "856-952-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 COPPER ROCK RD",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862478",
            "telephone_number": "856-952-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGULBUTO",
        "first_name": "CRYSTLE",
        "credential": "MS IN EDUCATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walden",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Copper Rock Rd",
            "city": "Walden",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125862478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.