IndividualActive
Crystal Tillman, DNP, CPNP, PMHNP-BC
NPI 1609112333 · Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
Provider details
- NPI number
- 1609112333
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, CPNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 300186 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1055 Dresser Ct
Raleigh, NC 27609-7323
Phone: (919) 876-3130
Street-level locationGet directions
Mailing address
830 Bryan St
Raleigh, NC 27605-1104
Registry dates
- Enumerated
- 2012-12-28
- Last updated
- 2015-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.