Active NPI
Crystal Mullins Fink, CPM, LM
- Midwife
- Roanoke, VA
National Provider Identifier
1184950255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 0129000050
- Practice address
- 1950 Electric Rd Ste 1
Roanoke, VA 24018-1621 - Phone
- (540) 676-7288
- Fax
- (540) 301-1768
- NPI assigned
- Oct 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | |||
| Doula | 374J00000X | |||
| Midwife | 176B00000X | 0129000050 | VA | Primary |
Addresses
Primary practice location
1950 Electric Rd Ste 1
Roanoke, VA 24018-1621
Mailing address
1950 Electric Rd Ste 1
Roanoke, VA 24018-1621
Phone (540) 676-7288
Other practice location 1
652 Murray Ave SE
Roanoke, VA 24013
Phone (540) 676-7288
Other names 1
- Crystal Mullins Musselman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0129000050 | VA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Birth and Perinatal Center | Midwife | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1184950255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 ELECTRIC RD STE 1",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181621",
"telephone_number": "540-676-7288",
"fax_number": "540-301-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 ELECTRIC RD STE 1",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181621",
"telephone_number": "540-676-7288",
"fax_number": "540-301-1768"
}
],
"practiceLocations": [
{
"address_1": "652 Murray Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "24013",
"country_code": "US",
"telephone_number": "540-676-7288",
"fax_number": "540-301-1768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINK",
"first_name": "CRYSTAL",
"middle_name": "MULLINS",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "0129000050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "MUSSELMAN",
"middle_name": "MULLINS",
"credential": "CPM, LM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.