Chrystal Green, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

935725 Issued in TX

Practice address

10960 Shelia
Beaumont, TX 77705-9618

Phone

(903) 722-3104

NPI assigned

Mar 4, 2019

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1669930251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10960 SHELIA",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059618",
            "telephone_number": "903-722-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10960 SHELIA",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059618",
            "telephone_number": "903-722-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHRYSTAL",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "935725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Beaumont Oral & Maxillofacial Surgery, PA
• Greater Houston Emergency Physicians PLLC
• Greater Texas Orthopedic Associates, PLLC
• Michael J Grecula, M.D.
• Catalina Green
• Clarence Peter Green
• Laquinta Green
• William Green, M.D
• Green'S Transportation & Transit Services LLC
• Tonya Greene, OTR

• Registered Nurse in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.