Crystal Alack, R.N. WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

111536 Issued in LA

Practice address

77 Starbrush Circle
Covington, LA 70433

Phone

(985) 893-0995

NPI assigned

May 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Womens Health & Wellness LLC

  • Obstetrics & Gynecology Physician
  • Covington, LA
  • NPI 1023222015
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1992116255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 STARBRUSH CIRCLE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-0995",
            "fax_number": "985-893-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 STARBRUSH CIRCLE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALACK",
        "first_name": "CRYSTAL",
        "credential": "R.N. WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "111536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE #",
            "identifier": "111536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerilyn Elissa Agness, M.S. CCC-SLP
• Amie Aguillard
• Allie Ainsworth
• Shanti Akasapu, MD
• Al IV Enterprises Inc
• Alan James Klein, PH.D., a Professional Psychology Corporation
• Albert Tydings MD, Apmc
• Andrea Alcon
• Jennifer Aldana, NP
• Alexander Milne Developmental Services

• Women's Health Nurse Practitioner in Covington, LA
• Providers in Covington, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.