Krystle Chavez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703103892 Issued in MI

Practice address

716 Fifth St
Jackson, MI 49203-5827

Phone

(517) 740-8000

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1750742219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 FIFTH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035827",
            "telephone_number": "517-740-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 FIFTH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035827",
            "telephone_number": "517-740-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KRYSTLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703103892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy D Chapel, D.D.S.
• Shelby Chapo, BA
• Hajira Chaudhry, MD
• James Brown Chauncey III, MD
• Aiden Xiaolou Chavez
• Rafael Chavez, R.PH.
• Elaine Christina Check, RDH
• Sania Akhtar Cheema
• James Yue Chen, DDS
• Max Chen, M.D.

• Licensed Practical Nurse in Jackson, MI
• Providers in Jackson, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.