Individual provider Active NPI

Krystal Robinson Justice

  • Acupuncturist
  • Columbus, OH
National Provider Identifier
1558827485
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
66.000057 Issued in OH
Practice address
100 W 3Rd Ave Ste 100
Columbus, OH 43201-3256
Phone
(614) 233-1609
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 66.000057 OH Primary

Addresses

Primary practice location

100 W 3Rd Ave Ste 100
Columbus, OH 43201-3256

Mailing address

1448 Neil Ave Apt 1a
Columbus, OH 43201-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
66.000057OHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Acupuncture and Chinese Herbal Medicine, LLC Acupuncturist Past Accepting new patients

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1558827485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 NEIL AVE APT 1A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD AVE STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013256",
            "telephone_number": "614-233-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON JUSTICE",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "66.000057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.