Crystal Dawn Eastridge, RN, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006977 Issued in KY

Practice address

613 23Rd St Ste G20
Ashland, KY 41101-2884

Phone

(606) 329-1770

Fax

(606) 329-1768

NPI assigned

Mar 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD (past)

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1174822357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE G20",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012884",
            "telephone_number": "606-329-1770",
            "fax_number": "606-329-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTRIDGE",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15709",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ear, Nose and Throat Associates of Ashland PLLC
• Eastern Kentucky Anesthesiologist Associates, PLLC
• Eastern Kentucky Cardiology
• Eastern Kentucky Specialties, LLC (Elite Counseling & Psychotherapy)
• Gregory Eastham, MD
• Gary Lynn Eddy, CRNA
• Taylor Jordan Eden, CSA
• Mary E Edgecomb, D.O.
• Basel Edris, MD
• Marianne Edwards, APRN

• Family Nurse Practitioner in Ashland, KY
• Providers in Ashland, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.