Individual provider Active NPI

Crystal Brown, ARNP-C

  • Family Nurse Practitioner
  • Valrico, FL
National Provider Identifier
1245763937
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9214941 Issued in FL
Practice address
3433 Lithia Pinecrest Rd Ste 347
Valrico, FL 33596-6302
Phone
(813) 578-4971
Fax
(813) 726-0723
NPI assigned
Apr 10, 2017
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9214941 FL Primary

Addresses

Primary practice location

3433 Lithia Pinecrest Rd Ste 347
Valrico, FL 33596-6302

Mailing address

906 Citrone CT
Valrico, FL 33594-4325
Phone (813) 786-8024

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412001791 FL Practitioner - Nurse Practitioner 3678842903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9214941FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Pulmonary PA CurrentSince Jul 1, 2018 Accepting new patients

Locations

119 US 27 N
Sebring, FL 33870
Phone (813) 578-4971

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1245763937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 CITRONE CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944325",
            "telephone_number": "813-786-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD STE 347",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302",
            "telephone_number": "813-578-4971",
            "fax_number": "813-726-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CRYSTAL",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9214941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.