Crystal Leigh Myatt, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1107036 Issued in KY

Practice address

Weed Army Community Hospital, BLDG 166
3Rd and Inner Loop Rd, BLDG 166, RM 414
Fort Irwin, CA 92310-5109

Phone

(760) 380-5388

Fax

(760) 380-2122

NPI assigned

Apr 16, 2013

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Leigh Kelty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1316380702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEED ARMY COMMUNITY HOSPITAL, BLDG 166",
            "address_2": "3RD AND INNER LOOP RD, BLDG 166, RM 414",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-5388",
            "fax_number": "760-380-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEED ARMY COMMUNITY HOSPITAL, BLDG 166",
            "address_2": "3RD AND INNER LOOP RD, BLDG 166, RM 414",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-5388",
            "fax_number": "760-380-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYATT",
        "first_name": "CRYSTAL",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1107036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "KELTY",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lendilla Yvonne Morris Caldwell, LPCC, LCDC, CPC, LPC
• Erin Elaine Morrison, RN, IBCLC
• John Michael Mozer, REGISTERED NURSE
• Kyle Mrohs, PT
• Alvenia Murray
• Christopher Lee Myer, LPN
• National Vision, Inc. (Optical Center)
• Raenette Lynn Neidhardt, RDN,LDN
• Tri Minh Nguyen, DDS
• Dustin Tyler Nygard, DMD

• Registered Nurse in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.