Individual provider Active NPI

Krystal Nelson Hollins

  • Behavior Analyst
  • Baton Rouge, LA
National Provider Identifier
1609539485
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10707 Industriplex Blvd Apt 118
Baton Rouge, LA 70809-3928
Phone
(601) 660-1526
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

10707 Industriplex Blvd Apt 118
Baton Rouge, LA 70809-3928

Mailing address

10707 Industriplex Blvd Apt 118
Baton Rouge, LA 70809-3928
Phone (601) 660-1526

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

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1609539485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 INDUSTRIPLEX BLVD APT 118",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093928",
            "telephone_number": "601-660-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 INDUSTRIPLEX BLVD APT 118",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093928",
            "telephone_number": "601-660-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINS",
        "first_name": "KRYSTAL",
        "middle_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.