Crystal Lynn Stamm, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

501058 Issued in NY

Practice address

823 Old Medford Ave
Medford, NY 11763-3548

Phone

(631) 289-3281

Fax

(631) 289-3281

NPI assigned

Oct 27, 2010

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1639479496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 OLD MEDFORD AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633548",
            "telephone_number": "631-289-3281",
            "fax_number": "631-289-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 OLD MEDFORD AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633548",
            "telephone_number": "631-289-3281",
            "fax_number": "631-289-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "501058",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NY",
            "license": "501058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Standridge, FNP-BC
• Alan Richard Stern, DPM
• Steven I Goodman OD PC (family eyecare of medford)
• Danielle Stewart
• Adrianna Gabrielle Stone

• Registered Nurse in Medford, NY
• Providers in Medford, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.