Active NPI
Crystal R Starbuck, APRN
- Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1437670676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 102648
- Practice address
- 3433 NW 56TH St Ste 400
Oklahoma City, OK 73112-4430 - Phone
- (405) 947-3341
- NPI assigned
- Jun 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 102648 | OK | Primary |
Addresses
Primary practice location
3433 NW 56TH St Ste 400
Oklahoma City, OK 73112-4430
Mailing address
3433 NW 56TH St Ste 400
Oklahoma City, OK 73112-4430
Phone (405) 947-3341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102648 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
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": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437670676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 NW 56TH ST STE 400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124430",
"telephone_number": "405-947-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 NW 56TH ST STE 400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124430",
"telephone_number": "405-947-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARBUCK",
"first_name": "CRYSTAL",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "102648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.