CRYSTAL HARRIS (NPI# 1144634486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144634486 |
| Entity Type | Individual |
| Full Name | CRYSTAL HARRIS |
| Other Name | CRYSTAL SIMPSON |
| Credential | NP |
| Practice Address |
6025 Walnut Grove Rd Ste 508 Memphis TN 38120-2125 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9017675864 |
| Mailing Telephone | 9012608500 |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
18380 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q012836 | 05 | |
| MS | 06587063 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760535 | Crystal Blaine Harris | Technician | 8448 Flowering Cherry Dr, Blacklick, OH 43004-7156 | 2020-08-12 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1306220876 | Crystal Harris | Licensed Vocational Nurse | 7626 Vista Alegre, Highland, CA 92346-5960 | 2015-07-15 |
| 1861887234 | Crystal Harris | Registered Nurse | 5754 Schutta Rd, Shoreview, MN 55126-4949 | 2015-04-02 |
| 1619286127 | Crystal M. Harris | Licensed Practical Nurse | 26630 Sumpter Rd, Sumpter Twp, MI 48111 | 2010-09-30 |
| 1235771593 | Crystal S Harris | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-10-08 |
| 1538717418 | Crystal Harris | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2019-09-03 |
| 1083267165 | Crystal Marie Harris | Social Worker | 186 Hurt St, Center, CO 81125-9002 | 2019-07-18 |
| 1063074805 | Crystal Harris | Emergency Medical Technician, Basic | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2019-07-02 |
| Street Address |
6025 WALNUT GROVE RD STE 508 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902820004 | Jeffrey P Mccartney | Emergency Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2006-07-26 |
| 1477151157 | Jonathan E Hawkins | Physician Assistant | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2020-10-14 |
| 1003446063 | William Frederick Apple IIi | Nurse Practitioner | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2020-01-18 |
| 1679110704 | Jennifer M Gatlin | Nurse Practitioner | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2019-12-09 |
| 1790341311 | Thomas Shapaker | Physician Assistant | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2019-05-20 |
| 1225317126 | Muhammad Muhye-ud-din Sheikh | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2011-08-09 |
| 1760790976 | Haitham El-haddad | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2010-09-22 |
| 1609193093 | Julia H Barton | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2010-04-26 |
| 1831385780 | Obaid Ur Rehman Awan | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2007-09-24 |
| 1255535613 | Ravis Bednarick Curry | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474341 | Camillia Terrell | Nurse Practitioner | 6005 Park Ave Ste 325b, Memphis, TN 38119-5208 | 2017-01-26 |
| 1710369954 | Allison C Henley | Nurse Practitioner | 1750 Madison, Suite 300, Memphis, TN 38104 | 2015-06-24 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1619239126 | Brenda D Bailey | Nurse Practitioner | 1068 Cresthaven Rd Ste 110, Memphis, TN 38119-0845 | 2012-06-11 |
| 1922338086 | Vickie Michelle Johnson | Nurse Practitioner | 3347 Bluemont Dr, Memphis, TN 38134-8414 | 2010-01-12 |
| 1346496379 | Carolyn S Moore | Nurse Practitioner | 4741 Rolling Meadows Dr, Memphis, TN 38128-4851 | 2008-08-11 |
| 1871123364 | Andrea M. Patterson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-01-23 |
| 1497316301 | Alicia Verona Wilson | Nurse Practitioner | 880 Madison Ave, Memphis, TN 38103-3409 | 2019-06-23 |
| 1740741990 | Halie Dawne Stephens | Nurse Practitioner | 6799 Great Oaks Rd, Memphis, TN 38138-2588 | 2019-03-29 |
| 1366993974 | Consolidated Health Services of Memphis, Pllc | Nurse Practitioner | 3315 Hacks Cross Rd, Suite 109, Memphis, TN 38125-8935 | 2016-10-18 |
| Find all providers in MEMPHIS | ||||
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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.