Crystal Marie Dykman, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN137429 Issued in AZ

Practice address

1535 N Greenfield Rd
Gilbert, AZ 85234-8532

Phone

(480) 892-2022

Fax

(480) 813-9010

NPI assigned

Jan 27, 2021

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

Electronic endpoints 1

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1952992653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N GREENFIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852348532",
            "telephone_number": "480-892-2022",
            "fax_number": "480-813-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N GREENFIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852348532",
            "telephone_number": "480-892-2022",
            "fax_number": "480-813-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKMAN",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN137429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gilbert",
            "affiliation": "N",
            "endpointDescription": "Elementary School",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gilbert",
            "address_1": "1535 N Greenfield Rd",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852348532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• School Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.