Chrystal Haynes, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CHRYSTAL HAYNES, LLC

Practice address

524 S Main St
Colville, WA 99114-2504

Phone

(509) 684-1420

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Chrystal Lerie Anne Haynes

Title

Owner

Phone

(509) 684-1420

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Lehman, LMT

  • Massage Therapist
  • Colville, WA
  • NPI 1558920066
  NPD (past)

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1104468529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142504",
            "telephone_number": "509-684-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142504",
            "telephone_number": "509-684-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSTAL HAYNES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "LERIE ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-684-1420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134544620",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara J Carle
• Jessica Carpenter, PHARMD
• Margaret M Carson, RN
• Marlita Chantry, PT
• Billi Gene Christensen
• Damon Clark
• Patricia Kayte Clark, HA 61144575
• Paul Thomas Clark
• Samantha Jean Clark
• Daniel O Clingaman, LMHC

• Massage Therapist in Colville, WA
• Providers in Colville, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.