Crystal Lee Martin

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

533 20TH St N
Fargo, ND 58102-4139

Phone

(701) 630-9288

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Crystal Lee Waxler Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2025.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1245082015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 28TH AVE N APT 5",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021957",
            "telephone_number": "701-630-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 20TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024139",
            "telephone_number": "701-630-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WAXLER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivan Martic
• Erica Martin-Macintosh, M.D.
• Adam Martin
• Bess J. Martin, PHD, LP
• Christine Martin, LICSW
• David John Martin
• Rebecca Martin
• Tori Martin
• Tracy J Martin, MD
• Jaclyn Mae Martineau, LCSW

• All providers in Fargo, ND
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.