Individual provider Active NPI

Krystal Marie McCants

  • Nurse's Aide
  • Hamilton, OH
National Provider Identifier
1184900136
Registry record updated Apr 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400975320909 Issued in OH
Practice address
63 Petty Dr
Hamilton, OH 45013-3957
Phone
(513) 709-4071
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400975320909 OH Primary

Addresses

Primary practice location

63 Petty Dr
Hamilton, OH 45013-3957

Mailing address

63 Petty Dr
Hamilton, OH 45013-3957
Phone (513) 446-9221

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

State licenses

LicenseStateTypeSpecialty
400975320909OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1184900136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PETTY DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133957",
            "telephone_number": "513-446-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PETTY DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133957",
            "telephone_number": "513-709-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANTS",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400975320909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.