Crystal Donielle Gingras

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13-201401340-001 Issued in GU

Practice address

382 Tai Gigao Rd
Agana Heights, GU 96910-6133

Phone

(671) 788-1980

NPI assigned

Jul 12, 2019

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

State licenses

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1982256764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4301",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969328301",
            "telephone_number": "671-788-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 TAI GIGAO RD",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106133",
            "telephone_number": "671-788-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "CRYSTAL",
        "middle_name": "DONIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GU",
            "license": "13-201401340-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Fitch, M.D.
• Shanae A Fletcher
• Andres Higareda Garcia
• Brittney Margaret Gardner, AUD
• Joan H Gill, M.D.
• Janay Green, LCSW
• Jonathan Sual Guerrero, PT, DPT
• John T Haggerty, D.O.
• Darren Hall, D.O.
• Kevin S Hart, MD

• All providers in Agana Heights, GU
• Massage Therapist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.