CRYSTAL JEAN JOHNSON (NPI# 1073898474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073898474 |
| Entity Type | Individual |
| Full Name | CRYSTAL JEAN JOHNSON |
| Credential | ARNP |
| Practice Address |
1610 W Townline St Creston IA 50801-1066 |
| Mailing Address |
1700 W Townline St Creston IA 50801-1054 |
| Practice Telephone | 6417822131 |
| Practice Fax Number | 6417826425 |
| Mailing Telephone | 6417822131 |
| Mailing Fax Number | 6417826425 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A92500 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS | 1811310733 | 01 |
| IA | 1811310733 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1548871940 | Crystal Johnson | Social Worker | 43 Whitman St # 2, Somerville, MA 02144-1615 | 2020-08-11 |
| 1003436429 | Crystal K Johnson | In Home Supportive Care | 894 E 223rd St, Euclid, OH 44123-3302 | 2020-04-26 |
| 1982121588 | Crystal Johnson | Behavioral Analyst | 20145 Serrano Rd, Apple Valley, CA 92307-2608 | 2017-08-24 |
| 1033662465 | Crystal Johnson | Technician, Other | 2178 Trafalger St, East Lansing, MI 48823-1329 | 2016-08-02 |
| 1043682420 | Crystal Johnson | Counselor | 1303 Commerce Dr, Peachtree City, GA 30269-3566 | 2015-10-26 |
| 1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
| 1932412673 | Crystal Aurice Johnson | Dentist | 5780 Ch James Parkway, Suite 280, Powder Springs, GA 30127-0000 | 2010-07-23 |
| 1326209271 | Crystal Johnson | Speech-Language Pathologist | 10603 Flatlands Ave, Brooklyn, NY 11236-2922 | 2008-06-23 |
| 1912110685 | Crystal L. Johnson | Dentist | 1412 Barnwell St, Columbia, SC 29201-3512 | 2007-05-08 |
| Street Address |
1610 W TOWNLINE ST |
| City | CRESTON |
| State | IA |
| Zip Code | 50801-1066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577548 | Donald E Mckim | Optometrist | 1610 W Townline St, Ste 115, Creston, IA 50801-1064 | 2005-06-09 |
| 1831755834 | Mallory L Kirscher | Nurse Practitioner | 1610 W Townline St, Creston, IA 50801-1066 | 2019-05-15 |
| 1518344753 | Matthew Glen Checketts | Internal Medicine | 1610 W Townline St, Creston, IA 50801-1066 | 2015-04-27 |
| 1710380795 | Jake A Davis | Physician Assistant | 1610 W Townline St, Creston, IA 50801-1066 | 2014-10-03 |
| 1326319070 | Amy Slee Hynek Mcfarland | Surgery | 1610 W Townline St, Creston, IA 50801-1066 | 2012-01-25 |
| 1912293135 | Eric M Larsen | Podiatrist | 1610 W Townline St, Creston, IA 50801-1066 | 2011-06-27 |
| 1346530318 | Emily A Turner | Nurse Practitioner | 1610 W Townline St, Creston, IA 50801-1066 | 2011-04-12 |
| 1770803082 | Erika Nicole Levis Brown | Family Medicine | 1610 W Townline St, Creston, IA 50801-1066 | 2010-06-09 |
| 1619105186 | Kristin R Bolinger | Family Medicine | 1610 W Townline St, Suite 200, Creston, IA 50801-1066 | 2009-06-23 |
| 1255568119 | Lonny D Miller | Family Medicine | 1610 W Townline St, Creston, IA 50801-1066 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
| 1578735452 | Homestead of Creston Operations LLC | Assisted Living Facility | 1709 West Prairie Street, Creston, IA 50801 | 2008-03-31 |
| 1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
| 1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
| 1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
| 1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
| 1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
| 1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
| 1578531877 | Crossroads Behavioral Health Services | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-10 |
| 1225098312 | Ronald Richard Rice | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-24 |
| Find all providers in zip 50801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387787 | Megan Rose Ng | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2020-08-19 |
| 1912542614 | Laura F Hagen | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2019-11-18 |
| 1174014369 | Gina Michelle Latham | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2018-05-23 |
| 1184135998 | Jessica Crandall | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2017-10-19 |
| 1689015729 | Elizabeth Marie Hensley | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2013-07-16 |
| 1497839252 | Kathleen Nicole Evans | Nurse Practitioner | 1700 W Townline St, Creston, IA 50801-1054 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.