Chrystal G Moore, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60870464 Issued in WA

Practice address

33480 13TH PL S
Federal Way, WA 98003-6357

Phone

(757) 323-9104

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Chrystal G Williams Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Navos

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1194728105

  Multi-Specialty

  Medicare reassignment NPD
• Telecare Mental Health Services of Washington, Inc

  • Psychiatric Residential Treatment Facility
  • Tacoma, WA
  • NPI 1780913657

  Multi-Specialty

  Medicare reassignment NPD
• Headspace Parking Lot PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elma, WA
  • NPI 1295417186
  NPD Authorized official
• Moore Healthcare PLLC

  • Nurse Practitioner
  • Oak Harbor, WA
  • NPI 1407454986
  NPD Authorized official
• Moore Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Harbor, WA
  • NPI 1417558958

  Multi-Specialty

  NPD Authorized official
• Moore Headspace Parking PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
  • NPI 1114747409
  NPD Authorized official
• Navos

  • Psychiatric Hospital
  • Seattle, WA
  • NPI 1124034699

  Multi-Specialty

  NPD
• Telecare Mental Health Services of Washington Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1902540362

  Multi-Specialty

  NPD
• Telecare Mental Health Services of Washington, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Federal Way, WA
  • NPI 1790298347

  Multi-Specialty

  NPD
• Telecare Mental Health Services of Washington, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Shelton, WA
  • NPI 1275178360
  NPD (past)
• Telecare Mental Health Services of Washington, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • McCleary, WA
  • NPI 1851859144
  NPD (past)
• Telecare Mental Health Services of Washington, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Tumwater, WA
  • NPI 1730532136
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1417434747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 HEMLOCK DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773404",
            "telephone_number": "757-323-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33480 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "757-323-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1563 Hemlock Dr",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982773404",
            "country_code": "US",
            "telephone_number": "757-323-9104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRYSTAL",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60796385",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60870464",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60870464",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60870464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSTAL",
            "last_name": "WILLIAMS",
            "middle_name": "G",
            "credential": "PMHNP-BC, AGNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tina Montoya, PTA
• Victoria Moon
• Rayn Moonflower, L.M.P.
• Rose M Moor, OT
• Mikaely Erin Moore Fujita, D.D.S.
• Don S Moore, D.D.S.
• Gregory D Moore, LMFTA
• Kaitlin Sandra Moore
• Kathleen D Moore, LMFTA
• Kelsey Grace Moore, MSN, ARNP, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.