Active NPI
Crystal Trenika Jones
- Contractor
- Lake Charles, LA
National Provider Identifier
1619445723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 008221900
- Practice address
- 1212 Sally Mae St
Lake Charles, LA 70601-1530 - Phone
- (337) 707-5635
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 008221900 | LA | Primary |
Addresses
Primary practice location
1212 Sally Mae St
Lake Charles, LA 70601-1530
Mailing address
PO Box 1222
Westlake, LA 70669-1222
Phone (337) 707-5635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-2358572 | Other | NEMT | |
| 83-2358572 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008221900 | LA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1619445723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1222",
"city": "WESTLAKE",
"state": "LA",
"postal_code": "706691222",
"telephone_number": "337-707-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 SALLY MAE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706011530",
"telephone_number": "337-707-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CRYSTAL",
"middle_name": "TRENIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "LA",
"license": "008221900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEMT",
"identifier": "83-2358572",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-2358572",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.