Individual provider Active NPI

Crystal Ann Franzen, RN

  • Registered Nurse
  • Manitowoc, WI
National Provider Identifier
1396283461
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
232389-30 Issued in WI
Practice address
926 South 8TH Street
Manitowoc, WI 54221-1177
Phone
(920) 683-4230
Fax
(920) 683-4908
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 232389-30 WI Primary

Addresses

Primary practice location

926 South 8TH Street
Manitowoc, WI 54221-1177

Mailing address

PO Box 1177
926 South 8TH Street
Manitowoc, WI 54221-1177
Phone (920) 683-4230

Other names 1

  • Crystal Ann Kalies 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
232389-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1396283461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "address_2": "926 SOUTH 8TH STREET",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542211177",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 SOUTH 8TH STREET",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542211177",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANZEN",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "232389-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "KALIES",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.