Crystal Khang, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11034373 Issued in FL

Practice address

12020 Seminole Blvd
Largo, FL 33778-2805

Phone

(727) 588-9572

NPI assigned

Jul 30, 2024

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suncoast Family Medical AssociatesGroup PAC ID 0941195242, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accomplished Home Care Home health agency, Clearwater, FL, CCN 107139

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.

• Suncoast Family Medical Associates

  • Family Medicine Physician
  • Largo, FL
  • NPI 1811981178
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Florida Pphomehealth, LLC

  dba Accomplished Home Care

  • Home Health Agency
  • Clearwater, FL
  • NPI 1730521642
  Care Compare affiliation

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1316776297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 ALBRITTON RD",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338609102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782805",
            "telephone_number": "727-588-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANG",
        "first_name": "CRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faseeh Uddin Khaja, M.D.
• Madiha Ahmed Khan-Walton, DO
• Hurara Khan
• Shabaz Rafiq Khan, MD
• Yahia Khanfar, MD
• Maya Khodor, MD
• Jessica Kidd
• Caitlin Kiernan
• Corin Ann Kierson
• Christine M Kilianek, LMT

• Family Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.