Individual provider Active NPI

Crystal Leann Landrum, BC-FNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1851658496
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-093034 Issued in AL
Practice address
1501 7TH St SE Ste a
Decatur, AL 35601-3375
Phone
(256) 355-7665
NPI assigned
Apr 20, 2012
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-093034 AL Primary

Addresses

Primary practice location

1501 7TH St SE Ste a
Decatur, AL 35601-3375

Mailing address

1501 7TH St SE Ste a
Decatur, AL 35601-3375
Phone (256) 355-7665

Other identifiers 2

IdentifierTypeStateIssuer
140473MedicaidAL
511-26863OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250627000252 AL Practitioner - Nurse Practitioner 8123342508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 7TH St SE
Suite a
Decatur, AL 35601-3375
Phone (256) 355-7665

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Family Health LLC Family CurrentSince May 1, 2025 Accepting new patients

Locations

1501 7th St SE
Ste A
Decatur, AL 35601
Phone (256) 355-7665

1304 13th Ave SE
Ste D
Decatur, AL 35601
Phone (256) 340-2560

Organizations & group practices 1

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1851658496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 7TH ST SE STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013375",
            "telephone_number": "256-355-7665",
            "fax_number": "256-686-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 7TH ST SE STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013375",
            "telephone_number": "256-355-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "CRYSTAL",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "BC-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-093034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140473",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-26863",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.