Individual provider Active NPI

Crystal Whitehouse, APRN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1801346259
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3010792 Issued in KY
Practice address
920 Frederica St Ste 204
Owensboro, KY 42301-3077
Phone
(270) 574-5600
Fax
(270) 574-5609
NPI assigned
Oct 10, 2016
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3010792 KY Primary

Addresses

Primary practice location

920 Frederica St Ste 204
Owensboro, KY 42301-3077

Mailing address

PO Box 22618
Owensboro, KY 42304-2618
Phone (270) 574-5600

Other practice location 1

1210 4th St
Lewisport, KY 42351-2526
Phone (270) 295-6450 ext. 308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161109002673 KY Practitioner - Nurse Practitioner 9133408495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitehouse Behavioral HealthGroup PAC ID 1052748670, 2 clinicians

Practice addresses (Care Compare)

920 Frederica St
Suite 204
Owensboro, KY 42301-3077
Phone (270) 574-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010792KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards Behavioral Health LLC CurrentSince Sep 25, 2020 Accepting new patients
Whitehouse Behavioral Health Psychiatric/Mental Health CurrentSince Dec 8, 2019 Accepting new patients
Truenorth Treatment Center, LLC CurrentSince Aug 23, 2024 Accepting new patients
Elizabeth Bennett Counseling PastSince Aug 23, 2024 Accepting new patients

Locations

1210 4th St
Lewisport, KY 42351
Phone (270) 255-4341

121 E 2nd St
Ste 401
Owensboro, KY 42303
Phone (270) 240-1785

920 Frederica St
Ste 204
Owensboro, KY 42301
Phone (270) 574-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1801346259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22618",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423042618",
            "telephone_number": "270-574-5600",
            "fax_number": "270-574-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 204",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013077",
            "telephone_number": "270-574-5600",
            "fax_number": "270-574-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 4th St",
            "address_purpose": "LOCATION",
            "city": "Lewisport",
            "state": "KY",
            "postal_code": "423512526",
            "country_code": "US",
            "telephone_number": "270-295-6450 x308",
            "fax_number": "270-295-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "CRYSTAL",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.