Active NPI
Crystal Durden, RN
- College Health Registered Nurse
- Augusta, GA
National Provider Identifier
1760006399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- College Health Registered Nurse
- License
- 224126
- Practice address
- 1465 Laney Walker Blvd Pavilion II; Af 1040
Augusta, GA 30912-0001 - Phone
- (706) 721-9745
- NPI assigned
- May 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | 224126 | SC | Primary |
Addresses
Primary practice location
1465 Laney Walker Blvd Pavilion II; Af 1040
Augusta, GA 30912-0001
Mailing address
1465 Laney Walker Blvd Pavilion II; Af 1040
Augusta, GA 30912-0001
Phone (706) 721-9745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224126 | SC | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1760006399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 LANEY WALKER BLVD PAVILION II; AF 1040",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120001",
"telephone_number": "706-721-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 LANEY WALKER BLVD PAVILION II; AF 1040",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120001",
"telephone_number": "706-721-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURDEN",
"first_name": "CRYSTAL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "SC",
"license": "224126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.