Individual provider Active NPI

Crystal Gail Harber, LPN

  • Licensed Practical Nurse
  • White Bluff, TN
National Provider Identifier
1306282074
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN0000076815 Issued in TN
Practice address
200 School Rd
White Bluff, TN 37187-9020
Phone
(615) 797-5056
Fax
(615) 797-5051
NPI assigned
May 21, 2013
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000076815 TN Primary

Addresses

Primary practice location

200 School Rd
White Bluff, TN 37187-9020

Mailing address

200 School Rd
White Bluff, TN 37187-9020
Phone (615) 797-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN0000076815TNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1306282074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHOOL RD",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371879020",
            "telephone_number": "615-797-5056",
            "fax_number": "615-797-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCHOOL RD",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371879020",
            "telephone_number": "615-797-5056",
            "fax_number": "615-797-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBER",
        "first_name": "CRYSTAL",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000076815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bluff, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.