Active NPI
Crystal Rose Vancil, RN, BSN, PHN
- Registered Nurse
- Colorado Springs, CO
National Provider Identifier
1922336676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 191982
- Practice address
- 301 S Union Blvd
Colorado Springs, CO 80910-3123 - Phone
- (719) 357-2048
- Fax
- (719) 575-8983
- NPI assigned
- Nov 18, 2009
- 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 | 191982 | CO | Primary |
Addresses
Primary practice location
301 S Union Blvd
Colorado Springs, CO 80910-3123
Mailing address
301 S Union Blvd
Colorado Springs, CO 80910-3123
Phone (719) 357-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191982 | Other | CO | RN |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191982 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1922336676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103123",
"telephone_number": "719-357-2048",
"fax_number": "719-575-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103123",
"telephone_number": "719-357-2048",
"fax_number": "719-575-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCIL",
"first_name": "CRYSTAL",
"middle_name": "ROSE",
"credential": "RN, BSN, PHN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "191982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "191982",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.