Individual provider Active NPI

Crystal L Lambing, MSN,RN,AGCNS-BC

  • Clinical Nurse Specialist
  • Boardman, OH
National Provider Identifier
1437553377
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
APRN.CNS.16737 Issued in OH
Practice address
970 Wyndham Dr
Boardman, OH 44512
Phone
(330) 259-0440
Fax
(330) 259-0441
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X APRN.CNS.16737 OH Primary

Addresses

Primary practice location

970 Wyndham Dr
Boardman, OH 44512

Mailing address

970 Wyndham Dr
Boardman, OH 44512
Phone (330) 259-0440

Other practice location 1

3304 Stones Throw Ave
Poland, OH 44514-4204
Phone (330) 707-1115

Other identifiers 1

IdentifierTypeStateIssuer
200938077MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20141208002308 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 9032431721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology LTDGroup PAC ID 3678551330, 5 clinicians

Practice addresses (Care Compare)

970 Windham CT
Suite 6a
Boardman, OH 44512-5082
Phone (330) 259-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNS.16737OHMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

3304 Stones Throw Ave
Youngstown, OH 44514
Phone (330) 707-1115

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1437553377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 WYNDHAM DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-259-0440",
            "fax_number": "330-259-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 WYNDHAM DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-259-0440",
            "fax_number": "330-259-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 Stones Throw Ave",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445144204",
            "country_code": "US",
            "telephone_number": "330-707-1115",
            "fax_number": "330-707-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBING",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MSN,RN,AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "APRN.CNS.16737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200938077",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.