CRYSTAL LEE EVANS (NPI# 1174550966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174550966 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEE EVANS |
| Credential | ATC/L |
| Practice Address |
3876 Highway 90 Pace FL 32571-1095 |
| Practice Telephone | 8505570475 |
| Practice Fax Number | 8509949794 |
| Mailing Telephone | 8505570475 |
| Mailing Fax Number | 8509949794 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801424445 | Crystal Evans | Home Health Aide | 5745 Eaglesridge Ln, Cincinnati, OH 45230-1387 | 2020-03-30 |
| 1790297802 | Crystal Ann Evans | Counselor | 1390 Valley Rd Ste 1b, Stirling, NJ 07980-1346 | 2017-10-30 |
| 1003048299 | Crystal Rose Evans | Counselor | 138 East Boundary Street, Browning, MT 59417 | 2009-08-20 |
| 1609473073 | Crystal Dominique Evans | Pharmacist | 5901 U S Highway 49, Hattiesburg, MS 39402-2858 | 2020-10-07 |
| 1073149332 | Crystal Evans | Counselor | 2220 Austin Ave, Waco, TX 76701-1625 | 2020-03-19 |
| 1396395695 | Crystal Lynn Evans | Social Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-09-18 |
| 1609336619 | Crystal Evans | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2019-03-25 |
| 1821574930 | Crystal Evans | Licensed Vocational Nurse | 4099 Mcewen Rd Ste 200, Farmers Branch, TX 75244-5050 | 2018-07-12 |
| 1750810453 | Crystal Whitley Evans | Nurse Practitioner | 915 Tate Blvd Se, Hickory, NC 28602-4042 | 2017-06-06 |
| 1871030676 | Crystal Evans | Counselor | 1742 Cheryl St, Clarksdale, MS 38614-7218 | 2017-01-31 |
| Street Address |
3876 HIGHWAY 90 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194367763 | Victoria Hove | Physical Therapist | 3876 Highway 90, Pace, FL 32571-1095 | 2019-10-15 |
| 1902329287 | Joel Cannon | Physical Medicine & Rehabilitation | 3876 Highway 90, Pace, FL 32571 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| 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.