Krystal Paige, LPN
Individual provider Active NPI Adult Companion · Amherst, VA
NPI 1124732151 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1124732151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 402 Ebenezer Rd
Amherst, VA 24521-4025 - Phone
- (434) 214-8107
- NPI assigned
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002075055 | VA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002075055 | VA | |
| Driver | 172A00000X | |||
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
402 Ebenezer Rd
Amherst, VA 24521-4025
Mailing address
402 Ebenezer Rd
Amherst, VA 24521-4025
Phone (434) 214-8107
Other providers in Amherst, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.