Active NPI
Crystal Brown, ARNP-C
- Family Nurse Practitioner
- Valrico, FL
National Provider Identifier
1245763937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9214941
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9214941 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patel Pulmonary PA | Current | 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.
-
- Pulmonary Disease Physician
- Sebring, FL
- NPI 1790930469
-
- Primary Care Clinic/Center
- Valrico, FL
- NPI 1053054643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.