Individual provider Active NPI

Crystal Gale Stensgar, RN

  • Registered Nurse
  • Inchelium, WA
National Provider Identifier
1982947032
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00176881 Issued in WA
Practice address
39 Short Cut Rd.
Inchelium, WA 99138-0290
Phone
(509) 722-7006
Fax
(509) 722-7021
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00176881 WA Primary

Addresses

Primary practice location

39 Short Cut Rd.
Inchelium, WA 99138-0290

Mailing address

PO Box 290
39 Short Cut Road
Inchelium, WA 99138-0290
Phone (509) 722-7006

Other identifiers 1

IdentifierTypeStateIssuer
RN00176881OtherWAREGISTERED NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00176881WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1982947032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "address_2": "39 SHORT CUT ROAD",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "991380290",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHORT CUT RD.",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "991380290",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSGAR",
        "first_name": "CRYSTAL",
        "middle_name": "GALE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00176881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN00176881",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inchelium, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.