Crystal McNack, RN

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

2018006875 Issued in MO

Practice address

19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023

Phone

(816) 478-9299

NPI assigned

Jul 12, 2022

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

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1386378719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 OVERTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331821",
            "telephone_number": "816-210-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 E EASTLAND CENTER CT STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557023",
            "telephone_number": "816-478-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25201 East State Route 78",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "64056",
            "country_code": "US",
            "telephone_number": "816-796-7307",
            "fax_number": "816-796-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNACK",
        "first_name": "CRYSTAL",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "MO",
            "license": "2018006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise McKenzie, NP
• Eric James McKinnon
• Alena McLoughlin
• Elizabeth McManamy, RPH
• Kylie McMullen
• Katherine Elizabeth McNamara, APRN, FNP-C
• Madison C McNeil, PLPC
• Chelsea Meade
• Medbasics Missouri LLC
• Medessence Solutions LLC

• Occupational Health Registered Nurse in Independence, MO
• Providers in Independence, MO by specialty
• Occupational Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.