Individual provider Active NPI

Kiersten Crabtree, APRN

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1053975466
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002175 Issued in FL
Practice address
1301 2ND Ave SW
Largo, FL 33770-2298
Phone
(727) 584-7706
Fax
(727) 581-3727
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002175 FL Primary

Addresses

Primary practice location

1301 2ND Ave SW
Largo, FL 33770-2298

Mailing address

1301 2ND Ave SW
Largo, FL 33770-2298
Phone (727) 584-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326000073 FL Practitioner - Nurse Practitioner 8325477318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002175FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Sep 16, 2021 Accepting new patients
Unique Management Group PastSince Sep 16, 2021 Accepting new patients
Jai Ho Past Accepting new patients

Locations

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

Interoperability endpoints

  • Direct secure messaging: kiersten.crabtree@386376377892868.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1053975466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702298",
            "telephone_number": "727-584-7706",
            "fax_number": "727-581-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702298",
            "telephone_number": "727-584-7706",
            "fax_number": "727-581-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "KIERSTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.