Individual provider Active NPI

Crystal Ann Hyder, ARNP

  • Family Nurse Practitioner
  • St. Augustine, FL
National Provider Identifier
1760611537
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3359852 Issued in FL
Practice address
400 Health Park Blvd
Flagler Hospital
St. Augustine, FL 32086
Phone
(904) 819-5155
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3359852 FL Primary

Addresses

Primary practice location

400 Health Park Blvd
Flagler Hospital
St. Augustine, FL 32086

Mailing address

3145 Coastal Hwy
Unit 1158
St Augustine, FL 32084-2210
Phone (904) 826-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091107000045 FL Practitioner - Nurse Practitioner 6305984667 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3359852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shands/Solantic Joint Venture, LLC CurrentSince Nov 20, 2012 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Solantic/South Florida, LLC CurrentSince Nov 20, 2012 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Nov 20, 2012 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Nov 20, 2012 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients
Lake Mary Medical Consulting Inc Past Accepting new patients
Augustine Emergency Physicians LLC Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1760611537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 COASTAL HWY",
            "address_2": "UNIT 1158",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842210",
            "telephone_number": "904-826-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "address_2": "FLAGLER HOSPITAL",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-819-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDER",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3359852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Augustine, FL

Sources for this page

Verify at the official NPI Registry.