Active NPI
Crystal Brittney Duncan, CRNP
- Adult Health Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11005771
- Practice address
- 2420 E Olive Rd Ste B
Pensacola, FL 32514-5110 - Phone
- (850) 332-6523
- Fax
- (850) 741-3679
- NPI assigned
- Jan 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-111600 | AL | |
| Adult Health Nurse Practitioner | 363LA2200X | 11005771 | FL | Primary |
Addresses
Primary practice location
2420 E Olive Rd Ste B
Pensacola, FL 32514-5110
Mailing address
2420 E Olive Rd Ste B
Pensacola, FL 32514-5110
Phone (850) 332-6523
Other practice location 1
111 W Camphor Ave Ste 3
Foley, AL 36535-3519
Phone (850) 332-6523
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-111600 | AL | MD | Adult Health Nurse Practitioner |
| 11005771 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Multi-Specialty | Current | Accepting new patients |
| Charlie Delta Health Service LLC | Current | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
2420 E Olive Rd
Ste B
Pensacola, FL 32514
Phone (850) 332-6523
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/25078/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- General Practice Physician
- Pensacola, FL
- NPI 1780447011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1891293932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 E OLIVE RD STE B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145110",
"telephone_number": "850-332-6523",
"fax_number": "850-741-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 E OLIVE RD STE B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145110",
"telephone_number": "850-332-6523",
"fax_number": "850-741-3679"
}
],
"practiceLocations": [
{
"address_1": "111 W Camphor Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Foley",
"state": "AL",
"postal_code": "365353519",
"country_code": "US",
"telephone_number": "850-332-6523",
"fax_number": "850-741-3679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "CRYSTAL",
"middle_name": "BRITTNEY",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-111600",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11005771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.