Crystal Kelley Harden

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN070918 Issued in GA

Practice address

102 Quail Run
Carrollton, GA 30116-1894

Phone

(678) 577-6273

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1144878653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 QUAIL RUN",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301161894",
            "telephone_number": "678-577-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 QUAIL RUN",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301161894",
            "telephone_number": "678-577-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "CRYSTAL",
        "middle_name": "KELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN070918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hamner, DO
• Sang Jo Han, PHARM.D
• Madison Mann Hancock, PA
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• Kimberly Anne Harman, LPC
• Aaron Ezra Harper, M.D.
• Christopher W. Harper Jr., MD
• Ginger Archer Harper, M.ED,CCC-SLP
• Emma Lewis Harrell, OT

• Licensed Practical Nurse in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.