Active NPI
Blue Harbor Oasis LLC
- Family Nurse Practitioner
- Richmond, VA
National Provider Identifier
1417754813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BLUE HARBOR OASIS LLC
- Practice address
- 9200 Stony Point Pkwy Ste 151a
Richmond, VA 23235-1976 - Phone
- (804) 610-4588
- Fax
- (804) 415-8308
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Lashawn Ealy
- Title
- Family Nurse Practitioner
- Phone
- (804) 795-2137
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
9200 Stony Point Pkwy Ste 151a
Richmond, VA 23235-1976
Mailing address
9200 Stony Point Pkwy Ste 151a
Richmond, VA 23235-1976
Phone (804) 610-4588
National Provider Directory
National Provider DirectoryLocations
9200 Stony Point Pkwy
Ste 151A
Richmond, VA 23235
Phone (804) 610-4588
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Midlothian, VA
- NPI 1538631932
-
- Mental Health Counselor
- Midlothian, VA
- NPI 1386108702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1417754813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 STONY POINT PKWY STE 151A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351976",
"telephone_number": "804-610-4588",
"fax_number": "804-415-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 STONY POINT PKWY STE 151A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351976",
"telephone_number": "804-610-4588",
"fax_number": "804-415-8308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE HARBOR OASIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "EALY",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "LASHAWN",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "804-795-2137"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.