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MS. KRYSTAL UKAEGBU RN, MSN
NPI 1710787197
Community Based Residential Treatment Facility, Mental Illness in Shreveport, LA

Active since March 15, 2025
7000 FERN AVE APT 135, SHREVEPORT, LA 71105(318) 658-8303 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2025, Mar 15, 2025 (2 updates tracked since 2025).

About Ms. Krystal Ukaegbu Rn, Msn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRYSTAL UKAEGBU RN, MSN (NPI 1710787197) is an individual community based residential treatment facility, mental illness provider in Shreveport, Louisiana and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1710787197
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameMS. KRYSTAL UKAEGBUCredential: RN, MSN
Location Address7000 FERN AVE APT 135Shreveport, LA 71105-4914
Mailing Address8880 Bernay DrShreveport, LA 71118-2024 · (318) 658-8303
Phone(318) 658-8303
Sole ProprietorYes
Enumeration DateMarch 15, 2025
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1710787197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN131251 (LA)
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
7000 FERN AVE APT 135, Shreveport, LA 71105
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Frequently Asked Questions

What is Krystal Ukaegbu's NPI number?

The NPI number assigned to this healthcare provider is 1710787197, enumerated as an "individual" on March 15, 2025.

Where is the provider located?

The provider is located at 7000 FERN AVE APT 135 SHREVEPORT, LA 71105 and the phone number is (318) 658-8303.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.