Krystal Janae Blunt, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

718992 Issued in CA

Practice address

27317 Manzanita LN Apt 205
Canyon Country, CA 91387-5114

Phone

(818) 219-1371

NPI assigned

Mar 20, 2012

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace of Rosa LLC

  • Home Health Agency
  • Canyon Country, CA
  • NPI 1851019210

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1730454984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27317 MANZANITA LN APT 205",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875114",
            "telephone_number": "818-219-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27317 MANZANITA LN APT 205",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875114",
            "telephone_number": "818-219-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "KRYSTAL",
        "middle_name": "JANAE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "246816",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "718992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Benedicto, FNP
• Arquimedes Jose Betancourt, PHARMACIST
• Beyond the Box Therapy
• Robert Bitner, RCP, CRTT
• Mary Bizzle, RD.
• Shawn Michael Bond, P.A.-C
• Jessica Bong, DDS
• Bracamontes Chiropractic Corp.
• Raymond Bracamontes, DC
• Breast Time of Life LLC

• Licensed Vocational Nurse in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.