Crystal Johnson, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

3627621 Issued in AL

Practice address

110 12TH St N
Birmingham, AL 35203-1537

Phone

(855) 255-2362

NPI assigned

Dec 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pack Health, LLC

  • Health & Wellness Coach
  • Birmingham, AL
  • NPI 1710391206
  NPD

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1750157673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 12TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 12TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031537",
            "telephone_number": "855-255-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AL",
            "license": "3627621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@packhealth.com",
            "affiliation": "N",
            "endpointDescription": "secure inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 12th St N",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352031537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cherie R Johnson, DC
• Christopher Scott Johnson
• Claire Elizabeth Johnson, MD
• Cornelie Johnson, LCSW
• Cory Johnson
• David Johnson
• Delores Johnson
• Emily Katherine Johnson, CRNP
• Erica Raquel Johnson, LPC
• Flora Johnson

• Health & Wellness Coach in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Health & Wellness Coach in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.