Individual provider Active NPI

Crista Joy Frank, DPM

  • Sports Medicine Podiatrist
  • Highland Park, IL
National Provider Identifier
1871507533
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
DPM00318 Issued in RI
Practice address
123 Johnston Dr
Highland Park, IL 60035-6411
Phone
(847) 780-4873
Fax
(847) 780-4873
NPI assigned
Jul 28, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X DPM00318 RI Primary

Addresses

Primary practice location

123 Johnston Dr
Highland Park, IL 60035-6411

Mailing address

123 Johnston Dr
Highland Park, IL 60035-6411
Phone (847) 780-4873

Other identifiers 1

IdentifierTypeStateIssuer
9003927MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GU2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210407000138 TX Practitioner - Podiatry 8921059429
I20230308000172 GU Practitioner - Podiatry 8921059429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM00318RIMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Smithfield Foot and Ankle, Inc PastSince Jan 5, 2025 Accepting new patients
Southwest Vascular P.C. PastSince Apr 1, 2019 Accepting new patients
North Smithfield Podiatry Inc PastSince Oct 29, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crista.frank@91123174801412.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1871507533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 JOHNSTON DR",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600356411",
            "telephone_number": "847-780-4873",
            "fax_number": "847-780-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 JOHNSTON DR",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600356411",
            "telephone_number": "847-780-4873",
            "fax_number": "847-780-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "CRISTA",
        "middle_name": "JOY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "RI",
            "license": "DPM00318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003927",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.