Crystal Ann Gifford, RN

Key facts

NPI

1932433232

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

592060-1 (NY)

Practice address

1 Salisbury Ave
Blasdell, NY 14219-1627

Phone

(716) 824-1516

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2009.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1932433232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SALISBURY AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191627",
            "telephone_number": "716-824-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SALISBURY AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191627",
            "telephone_number": "716-824-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "592060-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Blasdell, NY · Registered Nurse in New York