Active NPI
Krystal Lynn Carey, NP
- Family Nurse Practitioner
- San Tan Valley, AZ
National Provider Identifier
1699443515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06211318
- Practice address
- 1402 E Nardini St
San Tan Valley, AZ 85140-6822 - Phone
- (480) 868-7193
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06211318 | AZ | Primary |
Addresses
Primary practice location
1402 E Nardini St
San Tan Valley, AZ 85140-6822
Mailing address
1402 E Nardini St
San Tan Valley, AZ 85140-6822
Phone (480) 868-7193
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F06211318 | Other | AZ | AANP |
| 261065 | Other | AZ | STATE BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Krystalcarey@hospicewestaz.com | Health Information Exchange (HIE) | Hospice of the West LLC |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06211318 | AZ | MD | Family Nurse Practitioner |
Interoperability endpoints
- krystalcarey@hospicewestaz.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1699443515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 E NARDINI ST",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851406822",
"telephone_number": "480-868-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 E NARDINI ST",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851406822",
"telephone_number": "480-868-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "KRYSTAL",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2023-03-07",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "F06211318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F06211318",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NURSING",
"identifier": "261065",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Krystalcarey@hospicewestaz.com",
"affiliation": "Y",
"endpointDescription": "Work email",
"affiliationName": "Hospice of the West LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11911 Artesia Blvd Ste 206B",
"city": "Cerritos",
"state": "CA",
"country_code": "US",
"postal_code": "907014060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.