Krystina Ann Chalfant, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0027892 Issued in OH

Practice address

34970 Detroit Rd Unit 106
Avon, OH 44011-2653

Phone

(440) 250-0822

Fax

(440) 250-0887

NPI assigned

Jul 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1639740335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34970 DETROIT RD UNIT 106",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112653",
            "telephone_number": "440-250-0822",
            "fax_number": "440-250-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34970 DETROIT RD UNIT 106",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112653",
            "telephone_number": "440-250-0822",
            "fax_number": "440-250-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALFANT",
        "first_name": "KRYSTINA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@getvitalityhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@getvitalityhealth.com",
            "address_1": "34970 Detroit Rd Unit 106",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440112653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@getvitalityhealth.com",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@getvitalityhealth.com",
            "address_1": "34970 Detroit Rd Unit 106",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440112653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@getvitalityhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@getvitalityhealth.com",
            "address_1": "34970 Detroit Rd Unit 106",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440112653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Avon, OH
• Providers in Avon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.