CRYSTAL ROSE
NPI 1235849555
Licensed Practical Nurse in Portland, OR

NPI Status: Active since November 28, 2022

Contact Information

9750 NE GLISAN ST
PORTLAND, OR
ZIP 97220
Phone: (928) 671-0904

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  • Individual
  • Female
  • Licensed Practical Nurse

About CRYSTAL ROSE

This page provides the complete NPI Profile along with additional information for Crystal Rose, a provider established in Portland, Oregon with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1235849555 assigned on November 2022. The practitioner's primary taxonomy code is 164W00000X with license number 202209494 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1235849555
Provider Name
CRYSTAL ROSE
Gender
Female
Entity Type
Individual
Location Address
9750 NE GLISAN ST PORTLAND, OR 97220
Location Phone
(928) 671-0904
Mailing Address
17180 W SWEETWATER AVE UNIT 1088 SURPRISE, AZ 85388
Mailing Phone
(928) 671-0904
Is Sole Proprietor?
Yes
Enumeration Date
11-28-2022
Last Update Date
04-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
202209494
License State
OR
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

202209494 (OR)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235849555, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 6 + 4 + 1 + 8 + 5 + 1 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1235849555.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Physical Therapy Assistant
9750 NE GLISAN ST
PORTLAND, OR 97220
Physical Therapy Assistant
9750 NE GLISAN ST
PORTLAND, OR 97220
Occupational Therapy Assistant
9750 NE GLISAN ST
PORTLAND, OR 97220
Physical Therapist
9750 NE GLISAN ST
PORTLAND, OR 97220
Occupational Therapist
9750 NE GLISAN ST
PORTLAND, OR 97220
Community Health Worker
9750 NE GLISAN ST
PORTLAND, OR 97220
Occupational Therapist
9750 NE GLISAN ST
PORTLAND, OR 97220
Skilled Nursing Facility
9750 NE GLISAN ST
PORTLAND, OR 97220
Occupational Therapist
9750 NE GLISAN ST
PORTLAND, OR 97220
Speech-Language Pathologist
9750 NE GLISAN ST
PORTLAND, OR 97220
Licensed Practical Nurse
9750 NE GLISAN ST
PORTLAND, OR 97220
Skilled Nursing Facility
9750 NE GLISAN ST
PORTLAND, OR 97220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235849555, enumerated as an "individual" on November 28, 2022.

The provider is located at 9750 NE GLISAN ST PORTLAND, OR 97220 and the phone number is (928) 671-0904.

Licensed Practical Nurse with taxonomy code 164W00000X.