Individual provider Active NPI

Krystel Lazzari, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1437515772
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1215504 Issued in AL
Practice address
3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone
(251) 410-3600
Fax
(251) 410-3700
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1215504 AL Primary

Addresses

Primary practice location

3610 Springhill Memorial Dr N
Mobile, AL 36608-1162

Mailing address

114 Asbury Hill Rd
Daphne, AL 36526-9742
Phone (251) 656-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20160426001590 AL Practitioner - Nurse Practitioner 4880993815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1215504ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. CurrentSince Jul 1, 2016 Accepting new patients
Alabama Orthopaedic Clinics, PC Past Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1437515772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ASBURY HILL RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269742",
            "telephone_number": "251-656-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SPRINGHILL MEMORIAL DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081162",
            "telephone_number": "251-410-3600",
            "fax_number": "251-410-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARI",
        "first_name": "KRYSTEL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F1215504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.