MRS. KRYSTAL LOPEZ


Address: 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205
Phone: 3214347611

MRS. KRYSTAL LOPEZ (NPI# 1679013486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679013486
Entity Type Individual
Full Name MRS. KRYSTAL LOPEZ
Other Name MISS KRYSTAL WYNTERS
Credential ARNP
Practice Address 3661 S Babcock St Fl 2
Melbourne
FL 32901-8205
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3214347611
Practice Fax Number 3217273737
Mailing Telephone 3214347611
Mailing Fax Number 3219517408
Enumeration Date 2017-02-27
Last Update Date 2019-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN9314840 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE OF FLORIDA LICENSE ARNP9314840 01
FL MEDICARE KN043 01
FL 101310900 05

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1306375092 Krystal M Lopez Physician Assistant 5303 Elliott Drive, Suite 210, Ypsilanti, MI 48197 2017-06-07
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Office Location

Street Address 3661 S BABCOCK ST FL 2
City MELBOURNE
State FL
Zip Code 32901-8205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801891585 Bruce Robert Simpkins Nurse Practitioner 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 2005-06-17
1356483218 Felix N Dunkwu Physician Assistant 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 2007-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
Find all providers in zip 32901

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316475171 Jacqueline Hoskins Nurse Practitioner 2644 Kingsmill Ave, Melbourne, FL 32934-7583 2017-05-24
1255773701 Mobile Physicians Group Inc Nurse Practitioner 1010 E New Haven Ave Ste B, Melbourne, FL 32901 2013-07-25
1598100893 Serina Wisnewski Nurse Practitioner 2955 Pineda Plaza Way, Suite: 115, Melbourne, FL 32940-7318 2013-05-01
1841521176 Leonora Lillian Conte Nurse Practitioner 325 Tangle Run Blvd Apt 1112, Melbourne, FL 32940-1831 2010-01-27
1407073943 Paige Michelle Ahammer Nurse Practitioner 221 W Hibiscus Blvd, Suite 401, Melbourne, FL 32901-3044 2007-04-19
1326033085 Michelle Wiedenhoeft Nurse Practitioner 3661 S Babcock St, 2nd Floor, Melbourne, FL 32901-8205 2005-09-19
1861491565 Marva Edwards-marshall Nurse Practitioner 720 E New Haven Ave, Melbourne, FL 32901-5474 2005-07-15
1801891585 Bruce Robert Simpkins Nurse Practitioner 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 2005-06-17
1053922476 Cory Louis Nayfield Nurse Practitioner 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 2020-08-10
1457830556 Heidi Jo Sommers Nurse Practitioner 1131 W New Haven Ave, Melbourne, FL 32904-4110 2018-08-09
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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