CRYSTAL WARD (NPI# 1124401799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124401799 |
| Entity Type | Individual |
| Full Name | CRYSTAL WARD |
| Practice Address |
5100 Sw Macadam Ave 200 Portland OR 97239-6102 |
| Practice Telephone | 9712025500 |
| Practice Fax Number | 9712025555 |
| Mailing Telephone | 9712025500 |
| Mailing Fax Number | 9712025555 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201603126NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209012825 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1235649344 | Crystal L Ward | Social Worker | 1010 Lake St Ste 616, Oak Park, IL 60301-1136 | 2017-10-03 |
| 1861930752 | Crystal Ward | Licensed Practical Nurse | 394 Sw Finley Little Ln, Lake City, FL 32024-4857 | 2017-02-10 |
| 1376907832 | Crystal Ward | Massage Therapist | 3314 Granville Hwy, Gainesboro, TN 38562-6182 | 2016-04-11 |
| 1669835682 | Crystal Ward | Case Manager/Care Coordinator | 106a Huntington Dr, Monroe, LA 71202 | 2016-03-29 |
| 1720146459 | Crystal Ward | Speech-Language Pathologist | 122 Bowen Rd, Anderson, SC 29621-3608 | 2006-12-05 |
| 1891338323 | Crystal Lynn Ward | Peer Specialist | 604 S Walnut St, Stillwater, OK 74074-4222 | 2019-10-28 |
| 1104485010 | Crystal Amanda Ward | Nurse Practitioner | 8250 W Judge Perez Dr, Chalmette, LA 70043-1612 | 2019-06-13 |
| 1558897645 | Crystal Ward | Pharmacist | 1580 E Main St, Cortez, CO 81321-2934 | 2017-05-10 |
| 1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
| Street Address |
5100 SW MACADAM AVE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324949 | George Goodstein | Internal Medicine | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2006-02-07 |
| 1700307386 | Kelsey Allrich | Counselor | 5100 Sw Macadam Ave, Portland, OR 97239-6102 | 2017-07-04 |
| 1518498567 | Amber Sirstad | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2017-03-22 |
| 1558801019 | Trystan Rose | Counselor | 5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 | 2017-03-03 |
| 1891246070 | Lines for Life | Community/Behavioral Health | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-10-22 |
| 1952856585 | Housecall Providers, Inc | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2016-08-24 |
| 1700239605 | Lisa Stiller | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-07-15 |
| 1740636091 | Theresa Burks | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-05-05 |
| 1740643253 | Michael Schwarting | Counselor | 5100 Sw Macadam Ave, Ste 400, Portland, OR 97239-6102 | 2016-04-01 |
| 1528420205 | Justin Li | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399322 | Corporate Health Nw | Nurse Practitioner | 10209 Se Division St, Portland, OR 97266-1327 | 2007-03-05 |
| 1598301160 | Melissa Lohman | Nurse Practitioner | 6130 Ne 78th Ct Ste C10, Portland, OR 97218-4800 | 2019-11-19 |
| 1174170682 | Amy Samantha Peck | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2019-08-20 |
| 1235692484 | Ashley Chan | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-04-12 |
| 1871018119 | Matthew Sieg | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2017-08-08 |
| 1982128096 | Myra Brooke Flemister | Nurse Practitioner | 233 N Main St, Portland, AR 71663-9230 | 2017-07-31 |
| 1982056347 | Megan Lynne Black | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-07-11 |
| 1922463587 | Sarah Danford | Nurse Practitioner | 18000 Se Stark St, Portland, OR 97233 | 2015-12-28 |
| 1902166481 | Michele Jean Bergmann | Nurse Practitioner | 1040 Nw 22nd Ave, Ste 500, Portland, OR 97210-3057 | 2012-05-18 |
| 1336431154 | Chad Robinson | Nurse Practitioner | 2127 Nw Miller Rd, Portland, OR 97229-7501 | 2011-05-12 |
| Find all providers in PORTLAND | ||||
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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.