Individual provider Active NPI

Crystal Burnfield

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1093294597
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
023011 Issued in OH
Practice address
1160 W Broad St
Columbus, OH 43222-1352
Phone
(614) 274-1455
NPI assigned
Aug 7, 2018
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 023011 OH Primary

Addresses

Primary practice location

1160 W Broad St
Columbus, OH 43222-1352

Mailing address

1098 Fordham Rd
Columbus, OH 43224-1004

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504001923 OH Practitioner - Nurse Practitioner 8820429087 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023011OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Lights Christian Health Center, Inc. Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center, Inc Current Accepting new patients
Lower Lights Christian Health Center Inc Current Accepting new patients
Lower Lights Christian Health Center Inc. Past Accepting new patients

Locations

1160 W Broad St
Columbus, OH 43222
Phone (614) 274-1433

1560 S High St
Columbus, OH 43207
Phone 61427414556220

777 W State St
Ste 201
Columbus, OH 43222
Phone (614) 234-5953

L3957
Columbus, OH 43260

773 S Walnut St
Marysville, OH 43040
Phone (937) 578-2860

6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361

Interoperability endpoints

  • Direct secure messaging: cburnfield630758@direct.ochin.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1093294597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 FORDHAM RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNFIELD",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "023011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.