Crystal Wylena Rayton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN087149 Issued in GA

Practice address

4271 S Lee St # 101102
Buford, GA 30518-3710

Phone

(678) 765-8160

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1770119695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 S LEE ST STE 101&102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183710",
            "telephone_number": "678-765-8160",
            "fax_number": "678-765-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 S LEE ST # 101102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183710",
            "telephone_number": "678-765-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYTON",
        "first_name": "CRYSTAL",
        "middle_name": "WYLENA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN087149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Buford",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4271 S Lee St # 101102",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305183710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ram Dental, LLC
• Karina Ramos
• Sebastian Ramos
• Randolph S Moore DMD PC
• Julie D Randolph, MS, OTR/L
• Rediclinic US, LLC (RediClinic)
• Daysha Reed
• Torie Horner Reinsel
• Edward Reizenson, RPH
• Relationships Heal, LLC

• Licensed Practical Nurse in Buford, GA
• Providers in Buford, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.