Active NPI
Crystal Lynn Nora
- Registered Nurse
- Thibodaux, LA
National Provider Identifier
1871766964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN121376
- Practice address
- 163 Al Joseph LN
Thibodaux, LA 70301-7453 - Phone
- (985) 414-2785
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN121376 | LA | Primary |
Addresses
Primary practice location
163 Al Joseph LN
Thibodaux, LA 70301-7453
Mailing address
163 Al Joseph LN
Thibodaux, LA 70301-7453
Phone (985) 414-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN121376 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1871766964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 AL JOSEPH LN",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703017453",
"telephone_number": "985-414-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 AL JOSEPH LN",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703017453",
"telephone_number": "985-414-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORA",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN121376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.