Healthcare Provider Details

I. General information

NPI: 1982126306
Provider Name (Legal Business Name): CRYSTAL THOMPSON BAUMANN ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRYSTAL ROSE THOMPSON ARNP, FNP-C

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15260 NW 147TH DR STE 100
ALACHUA FL
32615-5339
US

IV. Provider business mailing address

15260 NW 147TH DR STE 100
ALACHUA FL
32615-5339
US

V. Phone/Fax

Practice location:
  • Phone: 386-418-1222
  • Fax: 386-418-0622
Mailing address:
  • Phone: 386-418-1222
  • Fax: 386-418-0622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9294210
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05170126
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: