Active NPI
Rachel Crist LLC
- Surgical Physician Assistant
- Broken Arrow, OK
National Provider Identifier
1962129726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- RACHEL CRIST LLC
- Practice address
- 2612 W Laredo St
Broken Arrow, OK 74012-7475 - Phone
- (918) 944-8333
- NPI assigned
- Oct 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Olivia Crist, CSFA
- Title
- Certified Surgical First Assist
- Phone
- (918) 944-8333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
2612 W Laredo St
Broken Arrow, OK 74012-7475
Mailing address
2612 W Laredo St
Broken Arrow, OK 74012-7475
Phone (918) 944-8333
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Broken Arrow, OK
- NPI 1952027716
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1962129726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 W LAREDO ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127475",
"telephone_number": "918-944-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 W LAREDO ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127475",
"telephone_number": "918-944-8333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHEL CRIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-23",
"status": "A",
"authorized_official_last_name": "CRIST",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "OLIVIA",
"authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSIST",
"authorized_official_telephone_number": "918-944-8333",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.