Active NPI
Crystal Carter, CST
- Technician/Technologist
- Reno, NV
National Provider Identifier
1760019970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 171344
- Practice address
- 35 Gymkhana LN
Reno, NV 89508-9579 - Phone
- (775) 857-0543
- Fax
- (775) 403-2246
- NPI assigned
- Mar 26, 2020
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 171344 | FL | Primary |
Addresses
Primary practice location
35 Gymkhana LN
Reno, NV 89508-9579
Mailing address
35 Gymkhana LN
Reno, NV 89508-9579
Phone (775) 857-0543
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171344 | FL | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1760019970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 GYMKHANA LN",
"city": "RENO",
"state": "NV",
"postal_code": "895089579",
"telephone_number": "775-857-0543",
"fax_number": "775-403-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 GYMKHANA LN",
"city": "RENO",
"state": "NV",
"postal_code": "895089579",
"telephone_number": "775-857-0543",
"fax_number": "775-403-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CRYSTAL",
"credential": "CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "FL",
"license": "171344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.