Crystal Evans

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CRYSTAL EVANS

Practice address

1013 Sulphur Springs LN Unit 202
Las Vegas, NV 89128-4185

Phone

(661) 302-1800

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Crystal Denise Evans

Title

Qidp

Phone

(661) 302-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1558711747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SULPHUR SPRINGS LN UNIT 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284185",
            "telephone_number": "661-302-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 SULPHUR SPRINGS LN UNIT 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284185",
            "telephone_number": "661-302-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "QIDP",
        "authorized_official_telephone_number": "661-302-1800"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Management Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.