Krystal Tate

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

708784 Issued in NY

Practice address

390 Rugby Rd
Brooklyn, NY 11226-5671

Phone

(347) 633-4010

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1164945408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265671",
            "telephone_number": "347-633-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "708784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Effie Tatakis, O.D.
• Tatyana Tatarskaya, ABOC
• Hilary Tate
• Jacquelin Tate
• Katherine Elena Tate, LMT
• Nichole M Tatem, L.AC.,DIPLAC.
• Claire Tateoka, RN
• Tatiana Khrom, M.D., P.C. (Khrom Dermatology & Aesthetics)
• Tatiana Korol, D.D.S., PLLC
• Maya Tatikola

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.