Krystal Ebbinghaus

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3257 W 20TH St
Greeley, CO 80634-6550

Phone

(970) 672-4667

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1851099345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 W 17TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343329",
            "telephone_number": "631-882-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346550",
            "telephone_number": "970-672-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBINGHAUS",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Renee Earley, RN
• Easter Seals Colorado
• Gary Dean Eastes, M.D.
• Susan M. Eastin, M.A.
• Nicole Jennifer Eaton
• Ariadne Vogel Ebel, D.O,
• John B Ebens, MD
• Bradley W Eckhardt, DDS
• Terry Allen Eckles, DDS
• Brandy Skyler Eckley

• Case Manager/Care Coordinator in Greeley, CO
• Providers in Greeley, CO by specialty
• Case Manager/Care Coordinator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.