Organization Active NPI

Krystal Hall Medical Professional, PLLC

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1962739813
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3248772 Issued in FL
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

Updated by the provider on Feb 4, 2016

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.