Individual provider Active NPI

Crystal Espadron, RN

  • Registered Nurse
  • Lake Charles, LA
National Provider Identifier
1619589504
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN161505 Issued in LA
Practice address
2187 E Gauthier Rd TRLR 562
Lake Charles, LA 70607-0410
Phone
(337) 794-8016
Fax
(337) 508-2933
NPI assigned
Aug 20, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN161505 LA Primary

Addresses

Primary practice location

2187 E Gauthier Rd TRLR 562
Lake Charles, LA 70607-0410

Mailing address

2187 E Gauthier Rd TRLR 562
Lake Charles, LA 70607-0410
Phone (337) 794-8016

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN161505LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heaven Leigh Healthcare Registered Nurse CurrentSince Nov 8, 2020 Accepting new patients

Organizations & group practices 1

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1619589504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 E GAUTHIER RD TRLR 562",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706070410",
            "telephone_number": "337-794-8016",
            "fax_number": "337-508-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 E GAUTHIER RD TRLR 562",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706070410",
            "telephone_number": "337-794-8016",
            "fax_number": "337-508-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPADRON",
        "first_name": "CRYSTAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN161505",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 26, 2020; 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.