Crystal Conn

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

1646 Lawson St
Wheelersburg, OH 45694-9009

Phone

(740) 464-1474

NPI assigned

Nov 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1790509735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 3RD ST",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 LAWSON ST",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456949009",
            "telephone_number": "740-464-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 3rd St",
            "address_purpose": "LOCATION",
            "city": "Wheelersburg",
            "state": "OH",
            "postal_code": "456948937",
            "country_code": "US",
            "telephone_number": "740-464-1474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONN",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cline
• Collier Home Medical LLC
• Collier Medical Services LLC
• Cory D Collins
• Jenifer Rose Combs, CNP
• Johnnie M. Conn, MSW, LSW
• Lindsay Nicole Conn, RN
• Amber Rose Cooper, RN
• Jason Cooper
• Loretta J Cooper, MSN, RN, LSN, EMT-B

• Adult Companion in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Adult Companion in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.