Krystina Renae Carviso

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

2025 E Aztec Ave
Gallup, NM 87301-4803

Phone

(505) 863-3828

NPI assigned

Jan 17, 2018

Last updated

Nov 15, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1831607506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "865150594",
            "telephone_number": "602-525-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014803",
            "telephone_number": "505-863-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVISO",
        "first_name": "KRYSTINA",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Carlomagno
• Heidi Idella Carlson, RN
• Jane Carmichael, RN
• Lita Carpena
• Mattie Carter
• Kathryn Castaldo, RN
• Chad Castillo
• Christine Castillo, RPH
• Kathleen Sable Castro, RN
• Sarah Brenda Cathey, RN

• Case Management Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.