KRYSTAL LYNN SITTHIVONG (NPI# 1205440898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205440898 |
| Entity Type | Individual |
| Full Name | KRYSTAL LYNN SITTHIVONG |
| Credential | RN |
| Practice Address |
13 Summit View Dr Perkinston MS 39573-4092 |
| Practice Telephone | 2285473080 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
898058 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13 SUMMIT VIEW DR |
| City | PERKINSTON |
| State | MS |
| Zip Code | 39573-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457643843 | Eva's Place, LLC | Assisted Living Facility | 258 Vestry Rd, Perkinston, MS 39573-2901 | 2011-05-04 |
| 1083853816 | Encore Rehabilitation, Inc. | Clinic/Center | 51 Main St, Encore Rehab Dept., Perkinston, MS 39573-3374 | 2009-02-18 |
| 1700440732 | Cessalee Nell Williams | Specialist/Technologist, Other | 1905 E Mchenry Rd, Perkinston, MS 39573-3453 | 2019-04-25 |
| 1962826743 | Surgicalfirst, LLC | Specialist/Technologist, Other | 272 Roy O'neal Rd, Perkinston, MS 39573-3454 | 2014-02-13 |
| 1225108939 | Dorothy Louise Smith | Social Worker | 451 Paramount Church Road, Perkinston, MS 39573-3532 | 2006-11-09 |
| 1578626958 | Heath James Ladner | Chiropractor | 28284 Highway 603, Perkinston, MS 39573-3793 | 2006-12-18 |
| 1962620385 | Ladner Chiropractic PC | Chiropractor | 28284 Highway 603, Perkinston, MS 39573-3793 | 2007-04-23 |
| 1316464266 | Deven Nicole Fejka | Nurse Practitioner | 204 Shawtown Rd, Perkinston, MS 39573-4302 | 2017-08-22 |
| 1255426037 | Douglas P Mcbride | Emergency Medicine | 4 Lott Rd, Perkinston, MS 39573-4920 | 2006-10-04 |
| 1093102394 | Destini Jones | Specialist/Technologist, Other | 1151 Old Highway 26, Perkinston, MS 39573-5844 | 2015-04-24 |
| Find all providers in zip 39573 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482953 | Nia Thompson Day | Nurse Practitioner | 1000 Asu Dr # 779, Lorman, MS 39096-7510 | 2020-03-17 |
| 1871139493 | Jefferson Comprehensive Health Center, Inc. | Nurse Practitioner | 1445 George F West Sr Blvd, Natchez, MS 39120-2557 | 2019-11-19 |
| City | PERKINSTON |
| Zip Code | 39573 |
Please comment or provide details below to improve the information on KRYSTAL LYNN SITTHIVONG.
| 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.