Krystal Lee Souza, RN
Registered Nurse, Addiction (Substance Use Disorder) in South Yarmouth, MA. Individual provider (NPI-1).
NPI number1447833686
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1447833686
- Entity type
- Individual (NPI-1)
- Name
- Krystal Lee Souza
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2021
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | RN261257 | MA | Yes |
Practice location
31a Workshop RdSouth Yarmouth, MA 02664-1210
Phone 508-398-5155 · Fax 508-398-3478
Mailing address
31a Workshop RdSouth Yarmouth, MA 02664-1210
Phone 508-398-5155 · Fax 508-398-3478
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Registered Nurse providers in South Yarmouth, MA
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