Individual provider Active NPI

Chynna Krustchinsky, AU.D.

  • Audiologist
  • Harker Heights, TX
National Provider Identifier
1235709379
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81266 Issued in TX
Practice address
800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996
Phone
(254) 618-1080
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81266 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996

Mailing address

800 W Central Texas Expy Ste 205
Harker Heights, TX 76548-1996
Phone (254) 618-1080

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
81266TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1235709379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY STE 205",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481996",
            "telephone_number": "254-618-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY STE 205",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481996",
            "telephone_number": "254-618-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSTCHINSKY",
        "first_name": "CHYNNA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.