Active NPI
Crystal Diamond Edwards
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1689241671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NY000423093E
- Practice address
- 15380 Weir St
Omaha, NE 68137-5005 - Phone
- (888) 269-9261
- NPI assigned
- Jun 8, 2021
- 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's Aide | 376K00000X | NY000423093E | NY | Primary |
Addresses
Primary practice location
15380 Weir St
Omaha, NE 68137-5005
Mailing address
15380 Weir St
Omaha, NE 68137-5005
Phone (888) 269-9261
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
| License | State | Type | Specialty |
|---|---|---|---|
| NY000423093E | NY | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1689241671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15380 WEIR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375005",
"telephone_number": "888-269-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15380 WEIR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375005",
"telephone_number": "888-269-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CRYSTAL",
"middle_name": "DIAMOND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NY",
"license": "NY000423093E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.