Crystal Gail Kinzalow-Hardimon, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09200273 Issued in OK

Practice address

200 S Castlerock LN
Mustang, OK 73064-4584

Phone

(405) 256-6000

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mustang Family Physicians PC

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1881891653
  NPD
• Peter Bullock MD PC

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1225359805
  NPD

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1447851910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644584",
            "telephone_number": "405-256-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CASTLEROCK LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644584",
            "telephone_number": "405-256-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZALOW-HARDIMON",
        "first_name": "CRYSTAL",
        "middle_name": "GAIL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F09200273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Joseph, PHARMACIST
• Joshua Crossley, DDS, PLLC
• Kaiser Chiropractic, LLC
• Lindsay Kern
• Naila Keys
• Heather Renee Koch, D.D.S
• Kristi Cobb DDS
• Kylar Kurtz
• Adam Lagaly, RN
• Cody Garrett Lake, DPT

• Family Nurse Practitioner in Mustang, OK
• Providers in Mustang, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.