Active NPI
Crystal Clear Integrated Nursing Services
- Nursing Care Agency
- Blacklick, OH
National Provider Identifier
1720922404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- CRYSTAL CLEAR INTEGRATED NURSING SERVICES
- Practice address
- 7924 Headwater Dr
Blacklick, OH 43004-8070 - Phone
- (614) 571-8769
- NPI assigned
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatmata Addison, RN
- Title
- Ceo
- Phone
- (614) 571-8769
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
7924 Headwater Dr
Blacklick, OH 43004-8070
Mailing address
7924 Headwater Dr
Blacklick, OH 43004-8070
Phone (614) 571-8769
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Gahanna, OH
- NPI 1104113513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1720922404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7924 HEADWATER DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430048070",
"telephone_number": "614-571-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7924 HEADWATER DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430048070",
"telephone_number": "614-571-8769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL CLEAR INTEGRATED NURSING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "ADDISON",
"authorized_official_first_name": "FATMATA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-571-8769",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.