Active NPI
Krystal Lee Ybarra
- Licensed Vocational Nurse
- Mission, TX
National Provider Identifier
1376024554
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 156364
- Practice address
- 1904 E Griffin Pkwy Ste B
Mission, TX 78572-3106 - Phone
- (956) 316-3627
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 156364 | TX | Primary |
Addresses
Primary practice location
1904 E Griffin Pkwy Ste B
Mission, TX 78572-3106
Mailing address
1904 E Griffin Pkwy Ste B
Mission, TX 78572-3106
Phone (956) 316-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156364 | Other | TX | TEXAS BOARD OF NURSING NUMBER |
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 |
|---|---|---|---|
| 156364 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1376024554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 E GRIFFIN PKWY STE B",
"city": "MISSION",
"state": "TX",
"postal_code": "785723106",
"telephone_number": "956-316-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 E GRIFFIN PKWY STE B",
"city": "MISSION",
"state": "TX",
"postal_code": "785723106",
"telephone_number": "956-316-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBARRA",
"first_name": "KRYSTAL",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "156364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING NUMBER",
"identifier": "156364",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.