Active NPI
Crystal Alexander
- Acute Care Nurse Practitioner
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R182334
- Practice address
- 8600 Old Georgetown Rd
Bethesda, MD 20814-1497 - Phone
- (301) 896-3775
- NPI assigned
- Feb 4, 2015
- Last updated
- Aug 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R182334 | MD | Primary |
Addresses
Primary practice location
8600 Old Georgetown Rd
Bethesda, MD 20814-1497
Mailing address
6112 Roseland Dr
Rockville, MD 20852-3649
Phone (301) 910-6044
Other names 1
- Ms. Crystal Kellar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R182334 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
Interoperability endpoints
- ckellar207243@direct.hopkinsmedicine.org
Organizations & group practices 3
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.
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- NPI 1255359972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1871983361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 ROSELAND DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523649",
"telephone_number": "301-910-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141497",
"telephone_number": "301-896-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2020-08-29",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R182334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "KELLAR",
"prefix": "MS.",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.