Khrystal Wright, PP

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4016 Foxborough Blvd
Valdosta, GA 31602-6726

Phone

(229) 300-5339

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1285232777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 FOXBOROUGH BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026726",
            "telephone_number": "229-300-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 FOXBOROUGH BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026726",
            "telephone_number": "229-300-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KHRYSTAL",
        "credential": "PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Valdosta",
            "affiliation": "N",
            "address_1": "4016 Foxborough Blvd",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316026726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrienne Woske, OT
• Holly H Wright, LPC
• Jacque Wright, BSPP
• Janice Monique Wright, PP
• John L Wright, M.D.
• Wayne Cameron Wright, M.D.
• Courtney Mayton Wynens, M.ED,CCC-SLP
• Eunice Yakubu, MD
• Courtney Yanagihara, OD
• Justin Michael Yancey, M.D.

• Contractor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.