Organization Active NPI

Crystal Clear Integrated Nursing Services

  • Nursing Care Agency
  • Blacklick, OH
National Provider Identifier
1720922404
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Fatmata Addison, RNNPI 1104113513
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.