Individual provider Active NPI

Crystina Marie White-Lopez, LPN

  • Licensed Practical Nurse
  • Amherst, NY
National Provider Identifier
1396077160
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
299828 Issued in NY
Practice address
1408 Sweet Home Rd Ste 9
Amherst, NY 14228-2783
Phone
(716) 247-5281
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 299828 NY Primary

Addresses

Primary practice location

1408 Sweet Home Rd Ste 9
Amherst, NY 14228-2783

Mailing address

140 Arbour LN Apt 1
Buffalo, NY 14220-2332
Phone (716) 861-6912

Other practice location 1

2250 Wehrle Dr Ste 1
Williamsville, NY 14221-7034
Phone (716) 276-2123

Other names 1

  • Crystina Marie Lopez Former name

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

LicenseStateTypeSpecialty
299828NYMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1396077160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ARBOUR LN APT 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202332",
            "telephone_number": "716-861-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SWEET HOME RD STE 9",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282783",
            "telephone_number": "716-247-5281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Wehrle Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217034",
            "country_code": "US",
            "telephone_number": "716-276-2123",
            "fax_number": "716-276-2129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE-LOPEZ",
        "first_name": "CRYSTINA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTINA",
            "last_name": "LOPEZ",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.