Organization Active NPI

Crystal Ferguson

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1265821565
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRYSTAL FERGUSON
Practice address
3452 Vine St
Cincinnati, OH 45220-1333
Phone
(513) 693-5952
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Miss Crystal Levette Ferguson
Title
Independent Provider
Phone
(513) 693-5952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3452 Vine St
Cincinnati, OH 45220-1333

Mailing address

3452 Vine St
Cincinnati, OH 45220-1333
Phone (513) 693-5952

Other identifiers 1

IdentifierTypeStateIssuer
0055350MedicaidOH

Other names 1

  • crystal ferguson Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1265821565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201333",
            "telephone_number": "513-693-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201333",
            "telephone_number": "513-693-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL FERGUSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LEVETTE",
        "authorized_official_title_or_position": "INDEPENDENT PROVIDER",
        "authorized_official_telephone_number": "513-693-5952",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "crystal ferguson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.