Active NPI
Crystal F Harmon, FNP
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1083633432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA 08756-NP
- Practice address
- 3555 Olentangy River Rd Ste 1030
Columbus, OH 43214-3901 - Phone
- (614) 566-2540
- NPI assigned
- Jul 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPN08756 | OH | |
| Family Nurse Practitioner | 363LF0000X | COA 08756-NP | OH | Primary |
Addresses
Primary practice location
3555 Olentangy River Rd Ste 1030
Columbus, OH 43214-3901
Mailing address
5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Other practice location 1
5221 Stratford Ave
Powell, OH 43065-8799
Phone (614) 339-9139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2704087 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charmon30507@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPN08756 | OH | MD | Nurse Practitioner |
| COA 08756-NP | OH | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1083633432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 OLENTANGY RIVER RD STE 1030",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143901",
"telephone_number": "614-566-2540"
}
],
"practiceLocations": [
{
"address_1": "5221 Stratford Ave",
"address_purpose": "LOCATION",
"city": "Powell",
"state": "OH",
"postal_code": "430658799",
"country_code": "US",
"telephone_number": "614-339-9139",
"fax_number": "614-791-8154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARMON",
"first_name": "CRYSTAL",
"middle_name": "F",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NPN08756",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA 08756-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2704087",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charmon30507@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "3555 Olentangy River Rd",
"address_2": "Ste 1030",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143912",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.