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KRYSTAL NICOLE SHILO AGACNP-BC NPI 1477222107


NPI Information

NPI: 1477222107
Provider Name: KRYSTAL NICOLE SHILO, AGACNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
13215 DOTSON RD STE 300
HOUSTON, TX
ZIP 77070
Phone: (281) 894-8822
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Krystal Nicole Shilo, AGACNP-BC is a gerontology nurse practitioner in Houston, TX with 3 years of experience. Krystal Nicole Shilo, AGACNP-BC NPI is 1477222107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13215 DOTSON RD STE 300
HOUSTON, TX
ZIP 77070-535
Phone: (281) 894-8822
Fax: (281) 897-1215

The NPI 1477222107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 7/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care1051896TEXASNo
2363LG0600XNurse PractitionerGerontology1051896TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1429104902MEDICAIDTEXAS
2429104901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.