Individual provider Active NPI

Krystal Nicole Allen

  • Behavior Technician
  • Vero Beach, FL
National Provider Identifier
1326403908
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
51 Old Dixie Hwy
Vero Beach, FL 32962
Phone
(772) 700-0077
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

51 Old Dixie Hwy
Vero Beach, FL 32962

Mailing address

2349 SE Addison St
Port St Lucie, FL 34984-5250
Phone (772) 206-9405

Other practice location 1

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (772) 468-5600

Other practice location 2

2349 SE Addison St
Port St Lucie, FL 34984-5250
Phone (772) 206-9405

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

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1326403908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 SE ADDISON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845250",
            "telephone_number": "772-206-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 OLD DIXIE HWY",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32962",
            "telephone_number": "772-700-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 W Midway Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349814823",
            "country_code": "US",
            "telephone_number": "772-468-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2349 SE Addison St",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349845250",
            "country_code": "US",
            "telephone_number": "772-206-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRYSTAL",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.