Individual provider Active NPI

Crystal Chappell, MSN, RN

  • Registered Nurse
  • Gilbert, AZ
National Provider Identifier
1659139269
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN153336 Issued in AZ
Practice address
1728 S Falcon Dr
Gilbert, AZ 85295-5866
Phone
(623) 277-8393
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN153336 AZ Primary
Administrator Registered Nurse 163WA2000X RN153336 AZ
Continuing Education/Staff Development Registered Nurse 163WC1600X RN153336 AZ
Home Health Registered Nurse 163WH0200X RN153336 AZ
Medical-Surgical Registered Nurse 163WM0705X RN153336 AZ
Rehabilitation Registered Nurse 163WR0400X RN153336 AZ
Occupational Health Registered Nurse 163WX0106X RN153336 AZ

Addresses

Primary practice location

1728 S Falcon Dr
Gilbert, AZ 85295-5866

Mailing address

1728 S Falcon Dr
Gilbert, AZ 85295-5866
Phone (513) 373-8558

Other identifiers 1

IdentifierTypeStateIssuer
RN153336OtherAZARIZONA STATE BOARD OF NURSING

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN153336AZMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1659139269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 S FALCON DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955866",
            "telephone_number": "513-373-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S FALCON DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955866",
            "telephone_number": "623-277-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "CRYSTAL",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN153336",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "RN153336",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "AZ",
            "license": "RN153336",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "RN153336",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN153336",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "AZ",
            "license": "RN153336",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "AZ",
            "license": "RN153336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "RN153336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.