CRYSTAL JEAN JOHNSON ARNP NPI 1073898474

NPI Information

NPI: 1073898474
Provider Name: CRYSTAL JEAN JOHNSON, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1610 W TOWNLINE ST
CRESTON, IA
ZIP 50801
Phone: (641) 782-2131
Get Directions

Crystal Jean Johnson, ARNP is a family nurse practitioner in Creston, IA. Crystal Jean Johnson, ARNP NPI is 1073898474. 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:

1610 W TOWNLINE ST
CRESTON, IA
ZIP 50801-066
Phone: (641) 782-2131
Fax: (641) 782-6425

The NPI 1073898474 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 10/17/2011 and was last updated on 12/12/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A92500	IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811310733	MEDICAID	IOWA
2	IB3031001	MEDICARE PIN	IOWA
3	1811310733	OTHER	IOWA	BCBS

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: 5/5/2024

NPI Synchronization or Removal

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