Krystal Conway

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

061535053 Issued in GA

Practice address

3230 Shoals Park Dr
Decatur, GA 30034-1101

Phone

(313) 772-3683

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1649959511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 SHOALS PARK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341101",
            "telephone_number": "313-772-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 SHOALS PARK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341101",
            "telephone_number": "313-772-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "061535053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle T Conti, MD
• Robert William Contino, M.D.
• Continuous Care Transport
• Cayla Conway, DPM
• Jacqueline Frances Conway
• Catherine M Cook, M.D.
• Chiqueria Cook
• Danielle Samone Kemba Cook, CPS, WHAM, CAT, CDDC
• Jessica Ann Cook
• Karen Cook

• Non-emergency Medical Transport (VAN) in Decatur, GA
• Providers in Decatur, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.