Crystal Whitehouse, APRN-NP

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Whitehouse Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
  • NPI 1609412154
  Medicare reassignment Care Compare group NPD Authorized official
• Truenorth Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Owensboro, KY
  • NPI 1871067611
  Medicare reassignment NPD
• Edwards Behavioral Health LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Owensboro, KY
  • NPI 1598382517
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100425010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Whitaker, PT
• Nicholas Adam Whitaker, PHARM D
• Jonathan White
• Whitehouse Behavioral Health
• Brittany Allyse Whitehouse, BSW, MSW
• Gayla Whitehouse, RN, CDE
• Margaret Whitehouse, ARNP
• Sean M Whitehouse, PA-C
• Brooke Lynae Whiteker, MASTERS IECE
• Whitney L Deitz DMD PLLC

• Psychiatric/Mental Health Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.

Verify at the official NPI Registry.