Crystal Siu

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN711520 Issued in PA

Practice address

129 N Washington Ave Apt 413
Scranton, PA 18503-2202

Phone

(240) 423-3658

NPI assigned

Feb 18, 2021

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

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1831782176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22552 PHILLIPS ST",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719499",
            "telephone_number": "240-423-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON AVE APT 413",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032202",
            "telephone_number": "240-423-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN711520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Sinha, M.D.
• Nicole Sipple, PA-C
• John J Sirotnak III, MD
• Julia Sirotnak
• Sarah Marie Sitoski, D.O.
• Ryan David Skapyak, PA-C
• Lisa Lynn Skasko
• Mark Skevofilax, DO
• Kristen Skoff
• Sheri Ann Skrutski, AU.D.

• Registered Nurse in Scranton, PA
• Providers in Scranton, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.