KRYSTAL OUTLAW (NPI# 1831715614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831715614 |
| Entity Type | Individual |
| Full Name | KRYSTAL OUTLAW |
| Credential | BSN RN |
| Practice Address |
3140 Cannon Dr Mansfield TX 76063-5533 |
| Practice Telephone | 7577484643 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 877529 | TX | Nursing Service Providers |
| Street Address |
3140 CANNON DR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384741 | Brittany Janice Rayburn | Registered Nurse | 867 Arlington Ave, Mansfield, OH 44903-7019 | 2020-10-21 |
| 1194342063 | Geoffrey Nyanaro Agwata | Registered Nurse | 4704 Gladiola Ct, Mansfield, TX 76063-2139 | 2020-06-26 |
| 1912529686 | Parisa Pakrad | Registered Nurse | 706 Manchester Dr, Mansfield, TX 76063-2893 | 2020-05-15 |
| 1164062808 | Sharon Muriuki | Registered Nurse | 2607 Ridgeoak Trl, Mansfield, TX 76063-5035 | 2020-01-10 |
| 1730728213 | Adedolapo Toyin Ojobo | Registered Nurse | 12 Westgrove Ct, Mansfield, TX 76063-5007 | 2019-12-31 |
| 1083256895 | Cathy Lynn Angelas | Registered Nurse | 1451 Lucas Road, Mansfield, OH 44903-8682 | 2019-10-14 |
| 1184273831 | Melody A Pitts | Registered Nurse | 2055 Millsboro Rd, Mansfield, OH 44906-3328 | 2019-09-05 |
| 1073167037 | Dayo Oluwaseun Kolawole | Registered Nurse | 1514 Stratford Dr, Mansfield, TX 76063-3352 | 2019-07-29 |
| 1851944912 | Hailey Brewer | Registered Nurse | 1509 Coastline Ln, Mansfield, TX 76063-8524 | 2019-07-18 |
| 1851943559 | Caleb Nyaanga Arika | Registered Nurse | 2701 Saint Charles Dr, Mansfield, TX 76063-4068 | 2019-07-12 |
| Find all providers in MANSFIELD | ||||
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| 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.