Active NPI
Krystal Lorene Day
- Case Manager/Care Coordinator
- Stockton, CA
National Provider Identifier
1639205958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1031 Waterloo Rd
Stockton, CA 95205-4256 - Phone
- (209) 940-5662
- NPI assigned
- Feb 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1031 Waterloo Rd
Stockton, CA 95205-4256
Mailing address
7210 Murray Dr
Stockton, CA 95210-3339
Phone (209) 940-5662
Other practice location 1
114 E Shaw Ave Ste 210
Fresno, CA 93710-7621
Phone (559) 221-8100
Other practice location 2
201 N Stanislaus St
Stockton, CA 95202-2949
Phone (559) 352-4268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101076 | Other | CA | DRUG MEDICAL |
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
Interoperability endpoints
- krystal.day.p1@direct.cmcentersinc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1639205958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 MURRAY DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103339",
"telephone_number": "209-940-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 WATERLOO RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952054256",
"telephone_number": "209-940-5662"
}
],
"practiceLocations": [
{
"address_1": "114 E Shaw Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937107621",
"country_code": "US",
"telephone_number": "559-221-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N Stanislaus St",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952022949",
"country_code": "US",
"telephone_number": "559-352-4268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAY",
"first_name": "KRYSTAL",
"middle_name": "LORENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDICAL",
"identifier": "101076",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.