Crystal Freeman Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011369 Issued in NC

Practice address

211 Bonnie Brook Rd
Aberdeen, NC 28315-3125

Phone

(910) 716-0099

Fax

(910) 405-1359

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1093289571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SPRINGHILL CHURCH RD",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283457044",
            "telephone_number": "910-995-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BONNIE BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153125",
            "telephone_number": "910-716-0099",
            "fax_number": "910-405-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRYSTAL",
        "middle_name": "FREEMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Scolavino, RN
• Michael Briggs Searles, LPC
• Serenity Mental and Medical Care PLLC (Philip R Couch Sole Mbr)
• Sinclair Home Health Agency
• Stefanie Alice Ledford Sittmann, WHNP-BC
• Maggie Elaine Smith
• Southern Pines Prescription Shoppe
• Specialized Services & Personnel Inc
• Specialized Services & Personnel, Inc.
• Donna Stephens Johnson, LMBT, MMP

• Family Nurse Practitioner in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.

Verify at the official NPI Registry.