Active NPI
Krystal Hall Medical Professional, PLLC
- Family Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1962739813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3248772
- Legal business name
- KRYSTAL HALL MEDICAL PROFESSIONAL, PLLC
- Practice address
- 6984 Pine Forest Rd
Pensacola, FL 32526-8908 - Phone
- (850) 456-4082
- NPI assigned
- Nov 13, 2009
- 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
- Mrs. Krystal S Hall, ARNP
- Title
- Nurse Practitioner
- Phone
- (850) 529-7932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3248772 | FL | Primary |
Addresses
Primary practice location
6984 Pine Forest Rd
Pensacola, FL 32526-8908
Mailing address
38 S Blue Angel Pkwy # 104
Pensacola, FL 32506-6045
Phone (850) 456-4082
National Provider Directory
National Provider DirectoryLocations
38 S Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 293-3985
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Pensacola, FL
- NPI 1649205659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454544000000",
"number": "1962739813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S BLUE ANGEL PKWY # 104",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325066045",
"telephone_number": "850-456-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6984 PINE FOREST RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325268908",
"telephone_number": "850-456-4082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRYSTAL HALL MEDICAL PROFESSIONAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-13",
"last_updated": "2016-02-04",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "850-529-7932",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3248772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.