Active NPI
Crystal Lynn Richardson, FNP
- Obstetrics & Gynecology Nurse Practitioner
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 5011947
- Practice address
- 127 N Steele St
Sanford, NC 27330-3917 - Phone
- (919) 776-7640
- NPI assigned
- Jun 22, 2019
- Last updated
- Sep 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RICH-OW8RAX | NC | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 5011947 | NC | Primary |
Addresses
Primary practice location
127 N Steele St
Sanford, NC 27330-3917
Mailing address
127 N Steele St
Sanford, NC 27330-3917
Phone (919) 776-7640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 N Steele St
Sanford, NC 27330-3917
Phone (919) 776-7640
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RICH-OW8RAX | NC | MD | Nurse Practitioner |
| 5011947 | NC | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| DLP Central Carolina Medical Group LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731
1140 Carthage St
Ste A
Sanford, NC 27330
Phone (919) 775-2304
127 N Steele St
Sanford, NC 27330
Phone (919) 776-7640
Interoperability endpoints
- crystal.richardson.1@15593.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Central Caroling Urology
- Urology Physician
- Sanford, NC
- NPI 1184163883
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
-
- Internal Medicine Physician
- Sanford, NC
- NPI 1659810455
-
dba Central Carolina Community Family Care
- Family Medicine Physician
- Sanford, NC
- NPI 1417495516
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Central Carolina Hospital
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1780245662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N STEELE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273303917",
"telephone_number": "919-776-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N STEELE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273303917",
"telephone_number": "919-776-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-22",
"last_updated": "2023-09-11",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "RICH-OW8RAX",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NC",
"license": "5011947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
- Rha Health Services Inc
- Rha Health Services NC LLC
- Amber Kathryn Rhyne, PHARMD
- Carlos Henrique Ribeiro Camargo, DDS
- Jennifer L. L. Richards, PH.D.
- James Quention Richardson III
- Rising Leaders Academy (MINA Charter School of Lee County)
- Hannah D Rivard
- Alina Mantha Rivera, RD, LDN, IBCLC
- Richard Rivera, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.