KRYSTAL HAWKINS (NPI# 1003430398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003430398 |
| Entity Type | Individual |
| Full Name | KRYSTAL HAWKINS |
| Credential | RADT1 |
| Practice Address |
5494 Pony Exspress Trail Camino CA 95709 |
| Mailing Address |
Po Box 586 Camino CA 95709-0586 |
| Practice Telephone | 5306443758 |
| Practice Fax Number | 5306443782 |
| Mailing Telephone | 5306443758 |
| Mailing Fax Number | 5306443782 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1357500819 | CA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474428 | Krystal Howard Hawkins | Psychiatry & Neurology | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-08-29 |
| 1043780877 | Krystal Hawkins | Counselor | 103 Commercial St Ste 1, Brockton, MA 02302-3133 | 2018-12-05 |
| 1154639078 | Krystal Hawkins | Nurse Practitioner | 1001 Lincoln Ave, Oneonta, AL 35121-2533 | 2010-09-14 |
| Street Address |
5494 PONY EXSPRESS TRAIL |
| City | CAMINO |
| State | CA |
| Zip Code | 95709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356849731 | Kari Lynn Herbert | Counselor | 5494 Pony Express Tr, Camino, CA 95709 | 2018-01-31 |
| 1104961101 | Progress House, Inc. | Substance Abuse Rehabilitation Facility | Progress House Perinatal Facility, 5494 Pony Express Trail, Camino, CA 95709 | 2007-02-20 |
| 1578514063 | Thomas John Mccoin | Physical Therapist | 5600 Pony Express Trail, #a, Camino, CA 95709 | 2006-05-12 |
| 1346853660 | Kelli Michelle Mcpartland | Counselor | 5494 Pony Express Trail, Camino, CA 95709 | 2020-08-26 |
| 1558927038 | Sara Marie Daniels | Counselor | 5494 Pony Express Trail, Camino, CA 95709 | 2019-05-10 |
| 1619475092 | Chastity Helena Hollis | Counselor | 5494 Pony Express Tr, Camino, CA 95709 | 2018-01-31 |
| 1881064590 | Dana Dean | Counselor | 5494 Pony Express Trail, Camino, CA 95709 | 2015-10-07 |
| 1548438062 | Progress House, Inc | Substance Abuse Rehabilitation Facility | 5494 Pony Express Trail, House 4, Camino, CA 95709 | 2008-02-19 |
| 1427226968 | Progress House, Inc | Substance Abuse Rehabilitation Facility | 5494 Pony Express Trail, House 1, Camino, CA 95709 | 2008-02-19 |
| 1942273024 | Kimberly Sue Dehn | Physical Therapist | 4000 Jacobsgaard Ln, Camino, CA 95709-9107 | 2006-02-09 |
| Find all providers in zip 95709 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356849731 | Kari Lynn Herbert | Counselor | 5494 Pony Express Tr, Camino, CA 95709 | 2018-01-31 |
| 1346853660 | Kelli Michelle Mcpartland | Counselor | 5494 Pony Express Trail, Camino, CA 95709 | 2020-08-26 |
| 1558927038 | Sara Marie Daniels | Counselor | 5494 Pony Express Trail, Camino, CA 95709 | 2019-05-10 |
| 1619475092 | Chastity Helena Hollis | Counselor | 5494 Pony Express Tr, Camino, CA 95709 | 2018-01-31 |
| 1881064590 | Dana Dean | Counselor | 5494 Pony Express Trail, Camino, CA 95709 | 2015-10-07 |
| 1659755775 | Kali Duke | Counselor | 5494 Pony Express Trail, Camino, CA 95613 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
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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.