Individual provider Active NPI

Crystal Nicole Morrow, FNP-BC

  • Nurse Practitioner
  • Clyde, NC
National Provider Identifier
1154949279
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
MORR-MOD1H Issued in NC
Practice address
581 Leroy George Dr
Clyde, NC 28721-8084
Phone
(828) 452-4131
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 MORR-MOD1H NC Primary

Addresses

Primary practice location

581 Leroy George Dr
Clyde, NC 28721-8084

Mailing address

581 Leroy George Dr
Clyde, NC 28721-8084

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cstansell@medwesthealth.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200820001922 NC Practitioner - Nurse Practitioner 2567888506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

581 Leroy George Dr
Suite 300
Clyde, NC 28721-8085
Phone (828) 452-4131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MORR-MOD1HNCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Nurse Practitioner CurrentSince Aug 15, 2020 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 15, 2020 Accepting new patients
Haywood Regional Medical Center PastSince Jul 12, 2020 Accepting new patients
Haywood Women's Medical Center, PA Past Accepting new patients

Locations

581 Leroy George Dr
Ste 300
Clyde, NC 28721
Phone (828) 452-4131

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: crystal.morrow.1@9865.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1154949279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218084",
            "telephone_number": "828-452-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "MORR-MOD1H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cstansell@medwesthealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "581 LeRoy George Dr",
            "city": "Clyde",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287218084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.