Active NPI
Crystal C Huffaker, FNP
- Family Nurse Practitioner
- Provo, UT
National Provider Identifier
1013162981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5903703-4405
- Practice address
- 1055 N 500 W
Ste 211, Building C
Provo, UT 84604-3305 - Phone
- (801) 357-7327
- Fax
- (801) 375-8860
- NPI assigned
- Nov 19, 2008
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-1418A | ID | |
| Family Nurse Practitioner | 363LF0000X | APRN001888 | NV | |
| Family Nurse Practitioner | 363LF0000X | 5903703-4405 | UT | Primary |
Addresses
Primary practice location
1055 N 500 W
Ste 211, Building C
Provo, UT 84604-3305
Mailing address
1055 N 500 W
Att Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Other practice location 1
1655 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone (702) 476-9999
Other names 1
- Crystal C Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1055 N 500
Provo, UT 84604-3305
Phone (801) 357-7327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1418A | ID | MD | Family Nurse Practitioner |
| 5903703-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay Health & Care | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Clay Health and Care | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients |
Locations
2360 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 840-3722
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 211
Provo, UT 84604
Phone (801) 357-7327
Networks
- UT PPO D-SNP
- UT PPO
Interoperability endpoints
- crystal.huffaker@5193.chartlogic.direct-ci.com
- crystalhuffaker@cuccu.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clay Health & Care PC
- General Practice Physician
- Las Vegas, NV
- NPI 1063282986
-
dba Clay Healt and Care PC
- General Practice Physician
- Henderson, NV
- NPI 1699527952
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1013162981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATT CREDENTIALING",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "STE 211, BUILDING C",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-357-7327",
"fax_number": "801-375-8860"
}
],
"practiceLocations": [
{
"address_1": "1655 W Horizon Ridge Pkwy",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890123494",
"country_code": "US",
"telephone_number": "702-476-9999",
"fax_number": "702-946-1343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUFFAKER",
"first_name": "CRYSTAL",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1418A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN001888",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5903703-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "JOHNSON",
"middle_name": "C",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.