Krystal Dawn Leach, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP025861 Issued in PA

Practice address

1048 Pennsylvania Ave W
Warren, PA 16365-1838

Phone

(814) 230-9111

Fax

(814) 313-1075

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Collaborative, LLCGroup PAC ID 9739429994, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sunrise Collaborative, LLC.

  • Clinical Social Worker
  • Warren, PA
  • NPI 1023553369

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Children'S Center for Treatment and Education

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, PA
  • NPI 1366609646
  Medicare reassignment NPD
• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • North Warren, PA
  • NPI 1790768471
  Medicare reassignment NPD
• Childrens Center for Treatment and Education

  • Clinical Psychologist
  • Bradford, PA
  • NPI 1477626992
  NPD
• Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1245965664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651838",
            "telephone_number": "814-230-9111",
            "fax_number": "814-313-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651838",
            "telephone_number": "814-230-9111",
            "fax_number": "814-313-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Pennsylvania Ave W",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163651876",
            "country_code": "US",
            "telephone_number": "814-723-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "KRYSTAL",
        "middle_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "erhoades@JourneyHealth.org",
            "affiliation": "N",
            "address_1": "1003 Pennsylvania Ave W",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163651876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Kishan Lander, M.S. CCC-SLP
• Kent Landin, D.M.D.
• Michael Vincent Landy, OD
• Frances Lapinski, MD
• Lydia Latimer
• Cayla Leichtenberger, OTD, OTR/L
• Tracy Marie Leichtenberger, RDH
• Kathleen Jane Leigh-Simms, ANP
• David Paul Lemay, PT
• Like a River Counseling

• Psychiatric/Mental Health Nurse Practitioner in Warren, PA
• Providers in Warren, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.