Crystal K Johnson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1831467 Issued in OH

Practice address

894 E 223Rd St
Euclid, OH 44123-3302

NPI assigned

Apr 26, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1003436429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 E 223RD ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233302",
            "telephone_number": "216-924-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E 223RD ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "894 E 223rd St",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441233302",
            "country_code": "US",
            "telephone_number": "216-924-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "1831467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DODD MPROVIDER",
            "identifier": "1831467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Marshall Johnson Jr., LPN
• Charles Durrell Johnson
• Ciara Monique Johnson, RN
• Constance Laurie Johnson
• Crystal Johnson, LPN
• Deborah J. Johnson, MSSA, LISW-S
• Diamonique Johnson
• Donecia Anthonique Johnson
• Gabrielle Johnson
• Gene Johnson

• In Home Supportive Care Agency in Euclid, OH
• Providers in Euclid, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.