Active NPI
Crystal T Matthews, CNA
- Nurse's Aide
- Florissant, MO
National Provider Identifier
1285440982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 90928A
- Practice address
- 765 Starlet Dr
Florissant, MO 63031-2249 - Phone
- (314) 356-6883
- NPI assigned
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 90928A | MO | Primary |
Addresses
Primary practice location
765 Starlet Dr
Florissant, MO 63031-2249
Mailing address
765 Starlet Drvie
Florissant, MO 63031-2249
Phone (314) 356-6883
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90928A | MO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1285440982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 STARLET DRVIE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312249",
"telephone_number": "314-356-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 STARLET DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312249",
"telephone_number": "314-356-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "CRYSTAL",
"middle_name": "T",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MO",
"license": "90928A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.