CRYSTAL CHANTEL MOORE (NPI# 1033617675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033617675 |
| Entity Type | Individual |
| Full Name | CRYSTAL CHANTEL MOORE |
| Practice Address |
2260 Par Ln H 911 Willoughby Hills OH 44094-2966 |
| Practice Telephone | 9105467997 |
| Mailing Telephone | 9105467997 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 161915 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| 1356887657 | Crystal Moore | Social Worker | 5 Court St Ste 42, Norwich, NY 13815-1695 | 2017-01-10 |
| Street Address |
2260 PAR LN H 911 |
| City | WILLOUGHBY HILLS |
| State | OH |
| Zip Code | 44094-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088250 | Sharon D Varner | Licensed Practical Nurse | 27400 Chardon Rd Apt 620, Willoughby Hills, OH 44092-2770 | 2020-06-18 |
| 1255951604 | Alandra Unique Hicks | Licensed Practical Nurse | 27400 Chardon Rd Apt 537, Willoughby Hills, OH 44092-2770 | 2020-04-24 |
| 1558849117 | Marriam Simone Fox | Licensed Practical Nurse | 2255 Par Ln Apt 323, Willoughby Hills, OH 44094-2937 | 2018-08-04 |
| 1932626827 | Barbara Mccurry | Licensed Practical Nurse | 27400 Chardon Rd Apt 832, Willoughby Hills, OH 44092-2772 | 2017-08-23 |
| 1689076655 | Akua Dautey | Licensed Practical Nurse | 27700 Bishop Park Dr Apt 809, Willoughby Hills, OH 44092-3042 | 2014-09-22 |
| 1598008468 | Stacy Sampson | Licensed Practical Nurse | 27600 Chardon Rd Apt 362, Willoughby Hills, OH 44092-2776 | 2013-03-29 |
| 1285986760 | Cierra Lamar | Licensed Practical Nurse | 27400 Chardon Rd Apt 602, Willoughby Hills, OH 44092-2770 | 2012-10-09 |
| 1184991747 | Edwin Scott Nethery | Licensed Practical Nurse | 2953 Rockefeller Rd, Willoughby Hills, OH 44092-1425 | 2011-11-28 |
| 1851670699 | Elizabeth Christina Spates | Licensed Practical Nurse | 2255 Par Ln, 602, Willoughby Hills, OH 44094-2922 | 2011-08-10 |
| 1003122037 | Monique D Walker | Licensed Practical Nurse | 27400 Chardon Rd Apt 1106, Willoughby Hills, OH 44092-2773 | 2010-08-27 |
| Find all providers in WILLOUGHBY HILLS | ||||
| City | WILLOUGHBY HILLS |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on CRYSTAL CHANTEL MOORE.
| 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.