Krystal Merchant, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041410747 Issued in IL

Practice address

3015 Harolds Cres
Flossmoor, IL 60422-2009

Phone

(708) 420-6057

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bottles to Spoons, Inc.

  • Registered Nurse
  • Flossmoor, IL
  • NPI 1376688036
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1861073744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E 100TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281683",
            "telephone_number": "773-319-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HAROLDS CRES",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222009",
            "telephone_number": "708-420-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "KRYSTAL",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041410747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medcentrix Inc (ingalls pro pharm 3)
• Kimberly Ann Medlin, FNP-BC
• Medonc LTD
• Rachel Medrano, PHARMD
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #280)
• Michelle Mesch
• Allison Elizabeth Milincic, CRNA
• Devyn Nicole Miller
• Teneshia Milligan Cavin
• Miranda Home Health Care Inc

• Registered Nurse in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.