Individual provider Active NPI

Krystal Marie Lepak, RN

  • School Registered Nurse
  • Surprise, AZ
National Provider Identifier
1386548329
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
336876 Issued in AZ
Practice address
17161 W Bajada Rd
Surprise, AZ 85387-1091
Phone
(162) 328-8280
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 336876 AZ Primary

Addresses

Primary practice location

17161 W Bajada Rd
Surprise, AZ 85387-1091

Mailing address

32919 N Center St
Wittmann, AZ 85361-9433
Phone (623) 250-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1386548329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32919 N CENTER ST",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853619433",
            "telephone_number": "623-250-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17161 W BAJADA RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871091",
            "telephone_number": "162-328-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAK",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "336876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.