CRYSTAL L BRANHAM APRN NPI 1417224239

NPI Information

  • NPI: 1417224239
  • Provider Name: CRYSTAL L BRANHAM, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 174 W CEDAR DR
    PIKEVILLE, KY
    ZIP 41501
  • Phone: (606) 794-5206

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NPI Details

Crystal L Branham, APRN is a family nurse practitioner in Pikeville, KY with 4 years of experience. Crystal L Branham, APRN NPI is 1417224239. 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:

174 W CEDAR DR
PIKEVILLE, KY
ZIP 41501-015
Phone: (606) 794-5206
Fax: (606) 754-5796

The NPI 1417224239 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 11/22/2011 and was last updated on 2/3/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2368322MASSACHUSETTSNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health3007228KENTUCKYNo
3363LF0000XNurse PractitionerFamily3007228KENTUCKYYes
4363LP0808XNurse PractitionerPsychiatric/Mental Health53-82469-061KANSASNo

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
12011013543OTHERKENTUCKYAMERICAN NURSES /FAMILY NURSE PRACTITIONER
23007228OTHERKENTUCKYKENTUCKY APRN LICENSURE
37100196230MEDICAIDKENTUCKY

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: 11/21/2025

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