Active NPI
Crystal Medlin, M.A.
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1891214938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 500 Ala Moana Blvd Ste 7-400
Honolulu, HI 96813-4902 - Phone
- (808) 557-1080
- NPI assigned
- Sep 10, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 7-400
Honolulu, HI 96813-4902
Mailing address
500 Ala Moana Blvd Ste 7-400
Honolulu, HI 96813-4902
Other names 1
- Mrs. Crystal S. Medlin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1891214938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 7-400",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 7-400",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134902",
"telephone_number": "808-557-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "CRYSTAL",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-10",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "MEDLIN",
"middle_name": "S.",
"prefix": "MRS.",
"credential": "JENKINS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.