Crystal M Davis, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172503 Issued in VA

Practice address

1006 E Main St
Pulaski, VA 24301-5218

Phone

(540) 980-1125

NPI assigned

Mar 17, 2009

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Murray E Joiner Jr MD PC

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
  • NPI 1326089822

  VA

  Medicare reassignment NPD
• Pain Center of the Blue Ridge

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
  • NPI 1245644533

  VA

  Medicare reassignment NPD
• Murray E Joiner Jr MD PC

  • Physical Medicine & Rehabilitation Physician
  • Lynchburg, VA
  • NPI 1932746153
  NPD

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1710128087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015218",
            "telephone_number": "540-980-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 E MAIN ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015218",
            "telephone_number": "540-980-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Virginia State Board of Health
• Tyreese Conquest
• Sarra Cottle
• Raymond Ibarra Cruz, MD
• Benjamin Scott Davidson, M.D.
• Glenn Davis, MD
• Linda Sue Davis, RN, GCNS-BC
• Dignified Transport Service LLC
• Erin H Dove, M.D.
• Ann Dianese Lee Edmonds

• All providers in Pulaski, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.