CRYSTAL LYNN SANDRIDGE (NPI# 1073113023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073113023 |
| Entity Type | Individual |
| Full Name | CRYSTAL LYNN SANDRIDGE |
| Practice Address |
9710 Cumberland Rd Springfield WV 26763 |
| Practice Telephone | 3048228670 |
| Mailing Telephone | 3048228670 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
9710 CUMBERLAND RD |
| City | SPRINGFIELD |
| State | WV |
| Zip Code | 26763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567569 | Jeremy Wayne Ritter | Technician | 9710 Cumberland Rd, Springfield, WV 26763 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168904 | Bonnie Lee Robinson | Technician | 26 Springfield Pike, Springfield, WV 26763 | 2020-09-11 |
| 1376156547 | Gail Sue Swisher | Technician | 95 Propane Dr, Springfield, WV 26763 | 2020-08-27 |
| 1508476334 | Barbara Sue Sheetz | Technician | 168 Swisher Hollow Rd, Springfield, WV 26763 | 2020-08-06 |
| 1629364351 | Spring Valley Family Care | Clinic/Center | 27 Springfield Pike, Springfield, WV 26763 | 2011-06-21 |
| 1821200627 | Springfield Area Rescue Squad Inc | Ambulance | Mary Sue Lane, Springfield, WV 26763 | 2007-05-04 |
| 1932357324 | Marcia Lee Kesner | Nurse Practitioner | Springfield Pike, Springfield, WV 26763-0000 | 2008-08-28 |
| 1518433614 | David Allan Meck | Student in an Organized Health Care Education/Training Program | 157 Magnolia Place, Springfield, WV 26763-0406 | 2018-10-17 |
| 1457960692 | Kourtni Smith | Technician | 11 Bamboo Trail Ln, Springfield, WV 26763-4515 | 2020-07-23 |
| 1285950535 | Heidi D. Fields | Counselor | Hc 65 Box 3848, Springfield, WV 26763-9607 | 2010-04-12 |
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168904 | Bonnie Lee Robinson | Technician | 26 Springfield Pike, Springfield, WV 26763 | 2020-09-11 |
| 1376156547 | Gail Sue Swisher | Technician | 95 Propane Dr, Springfield, WV 26763 | 2020-08-27 |
| 1508476334 | Barbara Sue Sheetz | Technician | 168 Swisher Hollow Rd, Springfield, WV 26763 | 2020-08-06 |
| 1457960692 | Kourtni Smith | Technician | 11 Bamboo Trail Ln, Springfield, WV 26763-4515 | 2020-07-23 |
| 1033619192 | Orlando Brickely Sanford Jr. | Technician | 232 S Race St, Springfield, OH 45506-1444 | 2018-02-15 |
| 1538685839 | Norie Attia | Technician | 6926 Ruskin St, Springfield, VA 22150-2043 | 2017-08-17 |
| 1619093887 | Carolyn Renee Williams | Technician | 243 E 3rd St, Springfield, OH 45503-3342 | 2007-03-21 |
| 1518567569 | Jeremy Wayne Ritter | Technician | 9710 Cumberland Rd, Springfield, WV 26763 | 2020-10-29 |
| 1124515531 | Hanmi Homehealth | Technician | 6214 Old Keene Mill Ct, Springfield, VA 22152-2327 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 26763 |
Please comment or provide details below to improve the information on CRYSTAL LYNN SANDRIDGE.
| 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.