Chrystal Summers

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

H01418701 Issued in HI

Practice address

3O Manuahi PL
Haiku, HI 96708

Phone

(317) 371-1963

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By 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

Other names 1

• Chrystal Summers Former name

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1851113278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MANUAHI PL",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085034",
            "telephone_number": "317-371-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3O MANUAHI PL",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "96708",
            "telephone_number": "317-371-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Manuahi Pl",
            "address_purpose": "LOCATION",
            "city": "Haiku",
            "state": "HI",
            "postal_code": "967085034",
            "country_code": "US",
            "telephone_number": "317-371-1963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "CHRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "H01418701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSTAL",
            "last_name": "SUMMERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Haiku, HI
• Providers in Haiku, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.