Individual provider Active NPI

Crystal Dawn Harris, FNP

  • Gerontology Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1992150684
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024173510 Issued in VA
Practice address
333 W Cork St Unit 405
Winchester, VA 22601-3876
Phone
(540) 313-9200
Fax
(540) 686-7287
NPI assigned
Apr 29, 2016
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173510 VA
Adult Health Nurse Practitioner 363LA2200X 0024173510 VA
Gerontology Nurse Practitioner 363LG0600X 0024173510 VA Primary
Primary Care Nurse Practitioner 363LP2300X 0024173510 VA

Addresses

Primary practice location

333 W Cork St Unit 405
Winchester, VA 22601-3876

Mailing address

333 W Cork St Unit 405
Winchester, VA 22601-3876
Phone (540) 313-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Charris@blueridgecare.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808002039 VA Practitioner - Nurse Practitioner 1254625643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge Hospice Inc.Group PAC ID 8426151036, 5 clinicians

Practice addresses (Care Compare)

333 W Cork St
Unit 405
Winchester, VA 22601-3876
Phone (540) 313-9200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173510VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince Jun 21, 2016 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Jun 21, 2016 Accepting new patients
Blue Ridge Palliative Care Services Hospice and Palliative Medicine CurrentSince Aug 31, 2025 Accepting new patients
Blue Ridge Hospice Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

190 Campus Blvd
Ste 410
Winchester, VA 22601
Phone (540) 450-2339

333 W Cork St
Unit 405
Winchester, VA 22601
Phone (540) 313-9200

Interoperability endpoints

  • Direct secure messaging: charris@blueridgecare.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1992150684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 405",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013876",
            "telephone_number": "540-313-9200",
            "fax_number": "540-686-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 405",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013876",
            "telephone_number": "540-313-9200",
            "fax_number": "540-686-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173510",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024173510",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024173510",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024173510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Charris@blueridgecare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "333 W Cork St Unit 405",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226013876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.