Active NPI
Crystalyn Nightingale, BSN, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Vacaville, CA
National Provider Identifier
1720864580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 95081541
- Practice address
- 101 Stirling Dr
Vacaville, CA 95687-5116 - Phone
- (707) 761-4880
- NPI assigned
- Sep 6, 2023
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 95081541 | CA | Primary |
Addresses
Primary practice location
101 Stirling Dr
Vacaville, CA 95687-5116
Mailing address
101 Stirling Dr
Vacaville, CA 95687-5116
Phone (707) 761-4880
Other names 1
- Crystal Nightingale
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95081541 | CA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1720864580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 STIRLING DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875116",
"telephone_number": "707-761-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 STIRLING DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875116",
"telephone_number": "707-761-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGHTINGALE",
"first_name": "CRYSTALYN",
"credential": "BSN, RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "95081541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "NIGHTINGALE",
"credential": "BSN, RN, IBCLC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.