Crystal Ann Carmody, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0993669 Issued in CO

Practice address

12959 S Parker Rd
Parker, CO 80134-3447

Phone

(303) 523-2054

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services Inc 3,431 clinicians

Meadows Family Medical Center Inc 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifespring Home Care Home health agency, Castle Rock, CO, CCN 067420
• Optimal Home Care Inc Home health agency, Denver, CO, CCN 067453
• Brighton Hospice Colorado, LLC Hospice, Denver, CO, CCN 061613
• St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Meadows Family Medical Center Inc

  • Family Medicine Physician
  • Denver, CO
  • NPI 1962440412

  CO

  Medicare reassignment Care Compare group NPD
• The Little Clinic of Colorado, LLC

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1538354568

  CO, Family

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brighton Hospice Colorado LLC

  • Community Based Hospice Care Agency
  • Denver, CO
  • NPI 1841847340

  Hospice

  Care Compare affiliation
• Guneratne LLC

  • Home Health Agency
  • Castle Rock, CO
  • NPI 1063401420
  Care Compare affiliation
• Optimal Home Care Inc.

  • Home Health Agency
  • Denver, CO
  • NPI 1285604082
  Care Compare affiliation
• St Lukes Regional Medical Center

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1750880902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 KINGSFIELD ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043299",
            "telephone_number": "303-523-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343447",
            "telephone_number": "303-523-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993669-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN0993669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carepoint Neurosurgery PLLC
• Caring Partners LLC
• Megan Elizabeth Carley
• Joseph Warren Carlson
• Teresa L Carlson, OD
• Sarah Bree Caron, OTR
• Daniel David Carrier, DPT
• Deztine Carter
• Precious Cheretta Carter
• Alexandra Carveth, COTA

• All providers in Parker, CO
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.