Individual provider Active NPI

Krystel Lynn Hannon, RN

  • Registered Nurse
  • Gaffney, SC
National Provider Identifier
1275175580
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
223177 Issued in SC
Practice address
141 Twin Lake Rd
Gaffney, SC 29341-2526
Phone
(864) 206-2201
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 223177 SC Primary

Addresses

Primary practice location

141 Twin Lake Rd
Gaffney, SC 29341-2526

Mailing address

899 Champion Ferry Rd
Gaffney, SC 29341-5613
Phone (864) 492-2004

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL krystel.hannon@cherokee1.org Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
223177SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Co. Schools PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1275175580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 CHAMPION FERRY RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293415613",
            "telephone_number": "864-492-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TWIN LAKE RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412526",
            "telephone_number": "864-206-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "KRYSTEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "223177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "krystel.hannon@cherokee1.org",
            "affiliation": "N",
            "endpointDescription": "krystel.hannon@cherokee1.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "141 Twin Lake Rd",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293412526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.