Crystal Edge Johnson

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

860 N Orange Ave
Orlando, FL 32801-1027

Phone

(321) 414-3799

NPI assigned

Feb 23, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1891649448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W POPLAR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125582",
            "telephone_number": "321-414-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011027",
            "telephone_number": "321-414-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE JOHNSON",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Medical Clinic
• Abigail Edery, PA
• Edgar a Martorell MD LLC
• Cory Mical Edgar, PA-C
• Debra Lynn Edgar, ED.D. CCC SLP
• Rebeka Pena Edge, BCBA
• Rut Serra Edge
• Tajai Edge
• Lewis James Edgemon, M.D.
• Elizabeth Anne Edgerton, PA-C

• Clinical Medical Laboratory in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.