Crystal Howell Martin, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R872575 Issued in MS

Practice address

407 S Valley St
Carthage, MS 39051-4051

Phone

(601) 298-0333

Fax

(601) 298-0797

NPI assigned

Oct 30, 2009

Last updated

Nov 10, 2015By the provider in NPPES

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

Other names 1

• Miss Crystal Leigh Howell Former name

Medicare fee-for-service enrollment

Enrolled in MS

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Medical Group of Mississippi LLCGroup PAC ID 8729973623, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.martin.1@27768.direct.athenahealth.com

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.

• Premier Medical Group of Mississippi LLC

  dba Kosciusko Medical Clinic

  • Clinic/Center
  • Kosciusko, MS
  • NPI 1790827038
  Medicare reassignment Care Compare group NPD
• Baptist Medical Center-Leake, Inc

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1356626618
  NPD (past)
• Baptist Medical Center-Leake, Inc

  dba BMC Leake Walnut Grove Primary Care

  • Rural Health Clinic/Center
  • Walnut Grove, MS
  • NPI 1548310782
  NPD (past)
• Premier Medical Group of Mississippi LLC

  dba Jackson Medical Clinic LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1548219884
  NPD (past)
• Vytalize Health

  • Family Medicine Physician
  • Carthage, MS
  • NPI 1568083533
  NPD (past)

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1275869950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 HIGHWAY 471",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478626",
            "telephone_number": "601-405-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S VALLEY ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514051",
            "telephone_number": "601-298-0333",
            "fax_number": "601-298-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CRYSTAL",
        "middle_name": "HOWELL",
        "name_prefix": "Mrs.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R872575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HOWELL",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leake Extended Care Facility
• Leake LTC, LLC (Carthage Health & Rehab Center)
• Lifecare EMS LLC (Lifecare EMS)
• Madden Medical Clinic LLC
• Philip Wayne Marler, OD
• Dawn McBounds
• Chiquita McClendon
• Michelle Pearson McDaniel, M.S. CCC-SLP
• William B McKinley
• April McLellan

• Family Nurse Practitioner in Carthage, MS
• Providers in Carthage, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.