Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Susan Shoumake, PRSS-5284

Individual provider Peer Specialist · NPI 1518757079

Krystal Susan Shoumake, PRSS-5284 is a Peer Specialist in Carson City, Nevada. Licensed in Nevada. Registered with an NPI since 2025.

Licensed in
NV
In the registry since
2025

Practice location Address checks out

205 S Pratt Ave
Carson City, NV 89701-4730
Phone: (775) 882-3945
Fax: (775) 882-6126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PRSS-5284 (NV)

Record details

NPI number1518757079
Entity typeIndividual (Type 1)
GenderFemale
Credentials PRSS-5284
Sole proprietorNo
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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