Active NPI
Kristi Eve Crawford
- Family Nurse Practitioner
- Santa Rosa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11023914
- Practice address
- 179 Mack Bayou Loop Ste 201
Santa Rosa Beach, FL 32459-7210 - Phone
- (850) 233-6922
- NPI assigned
- Jan 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023914 | FL | Primary |
Addresses
Primary practice location
179 Mack Bayou Loop Ste 201
Santa Rosa Beach, FL 32459-7210
Mailing address
179 Mack Bayou Loop Ste 201
Santa Rosa Beach, FL 32459-7210
Phone (850) 278-3920
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023914 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
120 N Richard Jackson Blvd
Ste 100
Panama City Beach, FL 32407
Phone (850) 233-6922
Interoperability endpoints
- kristi.ciamillo.1@9582.direct.athenahealth.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.
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- Ambulatory Family Planning Facility
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- NPI 1962453308
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1144934357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 MACK BAYOU LOOP STE 201",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597210",
"telephone_number": "850-278-3920",
"fax_number": "850-278-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 MACK BAYOU LOOP STE 201",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597210",
"telephone_number": "850-233-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "KRISTI",
"middle_name": "EVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.