CRYSTAL M PICKENS (NPI# 1174845853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174845853 |
| Entity Type | Individual |
| Full Name | CRYSTAL M PICKENS |
| Credential | LPN |
| Practice Address |
1088 Andora Rd Ne Carrollton OH 44615-9787 |
| Practice Telephone | 3307057222 |
| Mailing Telephone | 3307057222 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN. 115745 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3031150 | 05 |
| Street Address |
1088 ANDORA RD NE |
| City | CARROLLTON |
| State | OH |
| Zip Code | 44615-9787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745878 | Carroll Hills Industries, Inc. | Non-emergency Medical Transport (VAN) | 1182 Roswell Rd. Nw, Carrollton, OH 44615 | 2020-09-18 |
| 1982267704 | Amanda V Burdette | Case Manager/Care Coordinator | 620 Roswell Road Nw, Carrollton, OH 44615 | 2019-04-17 |
| 1740688118 | Cynthia Olivito | Psychologist | 252 Third St. Se, Carrollton, OH 44615 | 2014-12-16 |
| 1346459419 | Bruce Eldon Barker | Dentist | 256 N Lisbon St, Carrollton, OH 44615 | 2007-05-22 |
| 1477684470 | Carroll County Auditor | Public Health or Welfare | 301 Moody Ave Sw, Carrollton, OH 44615 | 2007-03-08 |
| 1437213964 | East Carroll Nursing Home Inc | Intermediate Care Facility, Mentally Retarded | 2193 Commerce Drive, Countryview Manor, Carrollton, OH 44615 | 2006-12-20 |
| 1912083122 | Carl Warren Winters | Dentist | 25 Third St Ne, Carrollton, OH 44615 | 2006-10-31 |
| 1811002637 | Douglas James Burik | Chiropractor | 1244 Canton Road Nw, Carrollton, OH 44615 | 2006-08-20 |
| 1588676068 | Berg & Birong Dds LLC | Dentist | 1040 Trump Rd, St A, Carrollton, OH 44615 | 2006-08-12 |
| 1619989100 | James P Birong | Dentist | 1040 Trump Road, St A, Carrollton, OH 44615 | 2006-08-12 |
| Find all providers in zip 44615 | ||||
| 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 |
|---|---|---|---|---|
| 1578188686 | Stephanie Webb | Licensed Practical Nurse | 4253 Hunt Dr Apt 1207, Carrollton, TX 75010-3215 | 2020-06-15 |
| 1801410006 | Anastasia Moore | Licensed Practical Nurse | 1701 E Hebron Pkwy Apt 6301, Carrollton, TX 75010-2126 | 2020-06-03 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1811471063 | Alycia Brown | Licensed Practical Nurse | 204a Austin Ave, Carrollton, GA 30117-3906 | 2018-09-23 |
| 1831555978 | Deborah F Yates | Licensed Practical Nurse | 118 Pleasant Ridge Rd, Carrollton, GA 30117-9329 | 2016-01-05 |
| 1881941383 | Joyce Omyia Loedum | Licensed Practical Nurse | 1330 Mac Arthur Dr, #2719, Carrollton, TX 75007-4464 | 2012-08-14 |
| 1942449871 | Brenda Lee Sutton | Licensed Practical Nurse | 4156 Jade Rd Nw, Carrollton, OH 44615-8200 | 2009-02-17 |
| 1659517506 | Portia Mbah | Licensed Practical Nurse | 4108 Mulberry Dr, Carrollton, TX 75010-1058 | 2008-12-24 |
| 1386894111 | Judy Arlene Mitzel | Licensed Practical Nurse | 1051 Montero Rd Ne, Carrollton, OH 44615-9165 | 2008-09-29 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 44615 |
Please comment or provide details below to improve the information on CRYSTAL M PICKENS.
| 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.