Organization Active NPI

Crystal'S Skin & Beauty LLC

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1093622243
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CRYSTAL'S SKIN & BEAUTY LLC
Practice address
3355 W Bearss Ave
Tampa, FL 33618-2100
Phone
(813) 692-6366
NPI assigned
Aug 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Mrs. Crystal Walker, CPE, FS
Title
Owner/Dual License Specialist
Phone
(813) 692-6366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3355 W Bearss Ave
Tampa, FL 33618-2100

Mailing address

3355 W Bearss Ave
Tampa, FL 33618-2100
Phone (813) 692-6366

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1093622243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-692-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-692-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL'S SKIN & BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/DUAL LICENSE SPECIALIST",
        "authorized_official_telephone_number": "813-692-6366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPE, FS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.