Individual provider Active NPI

Crystal D Parker, LPN

  • Licensed Practical Nurse
  • Webster Springs, WV
National Provider Identifier
1770378267
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
39750 Issued in WV
Practice address
70 Parcoal Rd
Webster Springs, WV 26288-9767
Phone
(304) 486-8571
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 39750 WV Primary

Addresses

Primary practice location

70 Parcoal Rd
Webster Springs, WV 26288-9767

Mailing address

131 Wellness Dr
Summersville, WV 26651-5402
Phone (304) 486-8571

Other practice location 1

131 Wellness Dr
Summersville, WV 26651-5402
Phone (304) 486-8571 ext. 5269

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

State licenses

LicenseStateTypeSpecialty
39750WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1770378267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "304-486-8571",
            "fax_number": "304-926-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARCOAL RD",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889767",
            "telephone_number": "304-486-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266515402",
            "country_code": "US",
            "telephone_number": "304-486-8571 x5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "39750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.