Crystal Richards Bass, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9234842 Issued in FL

Practice address

830 Altman Rd
Wauchula, FL 33873-9453

Phone

(863) 773-3181

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1932689429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 K D REVELL RD",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732051",
            "telephone_number": "863-773-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ALTMAN RD",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338739453",
            "telephone_number": "863-773-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 School House Rd",
            "address_purpose": "LOCATION",
            "city": "Zolfo Springs",
            "state": "FL",
            "postal_code": "338902759",
            "country_code": "US",
            "telephone_number": "863-735-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "CRYSTAL",
        "middle_name": "RICHARDS",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9234842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Wauchula, FL
• Providers in Wauchula, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.