CRYSTAL ANDERSON (NPI# 1174914527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174914527 |
| Entity Type | Individual |
| Full Name | CRYSTAL ANDERSON |
| Practice Address |
3905 Aurora Dr Omaha NE 68134-4423 |
| Practice Telephone | 4027096254 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003384421 | Crystal Jones Anderson | Developmental Therapist | 1126 Sara Ct, Batavia, IL 60510-4594 | 2018-11-02 |
| 1841481140 | Crystal Lynette Anderson | Private Vehicle | 2718 7th St, Maumee, OH 43537-3256 | 2007-08-05 |
| 1730237850 | Crystal Raequel Anderson | Social Worker | 3465 Lawrenceville Suwanee Rd Ste C, Suwanee, GA 30024-7467 | 2007-01-08 |
| 1891860110 | Crystal Gregory Anderson | Dentist | 2535 E Bidwell St, Suite 100, Folsom, CA 95630-6439 | 2006-11-21 |
| 1598396616 | Crystal Anderson | Counselor | 504 Autumn Springs Ct Ste 4, Franklin, TN 37067-8278 | 2020-01-28 |
| 1285112938 | Crystal Anderson | Licensed Vocational Nurse | 5726 W Hausman Rd Ste 100, San Antonio, TX 78249-1651 | 2018-08-04 |
| 1134612385 | Crystal Anderson | Pharmacist | 911 W 7th St, Sioux City, IA 51103-5336 | 2018-06-12 |
| 1922509165 | Crystal Anderson | Technician/Technologist | 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 | 2018-02-22 |
| 1255704987 | Crystal Anderson | Social Worker | 2199 Harrison St, Batesville, AR 72501-7416 | 2015-11-03 |
| 1689088908 | Crystal Anderson | Counselor | 43 W Washington St, Chambersburg, PA 17201-2462 | 2014-06-13 |
| Street Address |
3905 AURORA DR |
| City | OMAHA |
| State | NE |
| Zip Code | 68134-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802262 | Destinee Myres | Registered Nurse | 9270 Ames Ave, Omaha, NE 68134 | 2017-03-24 |
| 1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
| 1538557772 | Megan Pendley | Counselor | 2808 North 75th Street, Omaha, NE 68134 | 2014-12-22 |
| 1477823771 | Warren Leonard Wallin | Pharmacist | 5225 North 90 St Street, Omaha, NE 68134 | 2012-01-04 |
| 1851613731 | Bobbi J Bussart | Counselor | 5843 N 90th, Omaha, NE 68134 | 2010-02-19 |
| 1386879559 | Makovicka Harms Group PC | Physical Therapist | 4201 N 90th Street, Omaha, NE 68134 | 2009-05-18 |
| 1093906216 | Deepthi Samindla | Family Medicine | 4229 North 90th Street, Omaha, NE 68134 | 2007-08-05 |
| 1740489384 | Tami Michelle Teut | Occupational Therapist | 7300 Graceland Drive, Omaha, NE 68134 | 2007-07-13 |
| 1447389200 | Mary Jo Atwood | Counselor | 10642 Old Maple Rd, Omaha, NE 68134 | 2007-03-05 |
| 1568502391 | Kimberly Lavern Mcmorris | Counselor | 2805 N 72 Street, Omaha, NE 68134 | 2007-02-08 |
| Find all providers in zip 68134 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902647 | Katia Lira Garcia | Student in an Organized Health Care Education/Training Program | 9153 Black St, Omaha, NE 68122-1823 | 2020-08-13 |
| 1508477589 | Nicole Amato | Student in an Organized Health Care Education/Training Program | 3306 S 52nd St, Omaha, NE 68106-3806 | 2020-08-12 |
| 1790393692 | Akshay Machanahalli Balakrishna | Student in an Organized Health Care Education/Training Program | 7710 Mercy Road, Suite 202 - Cu Department of Internal, Omaha, NE 68124-2353 | 2020-07-16 |
| 1124644703 | Michaelyn Aleah Everhart | Student in an Organized Health Care Education/Training Program | 9885575 Nebraska Medical Center, Omaha, NE 68198-5575 | 2020-06-19 |
| 1043836992 | Glen Sheridan Clinton | Student in an Organized Health Care Education/Training Program | 981150 Nebraska Medical Center Omaha Ne 68198-1150, Omaha, NE 68198-0001 | 2020-06-16 |
| 1548885809 | Adam P Zobel | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Ctr # 5597372, Omaha, NE 68198-4150 | 2020-06-12 |
| 1972127918 | Krysta Mary Sutyak | Student in an Organized Health Care Education/Training Program | 986880 Nebraska Medical Center, Omaha, NE 68198-3280 | 2020-06-05 |
| 1023630209 | Tuan Anh Quang Ta | Student in an Organized Health Care Education/Training Program | 4400 Emile St Rm 3601, Omaha, NE 68198-0600 | 2020-05-11 |
| 1902434186 | Andrew William Enzler | Student in an Organized Health Care Education/Training Program | 623 S 56th St, Omaha, NE 68106-1318 | 2020-04-01 |
| 1952937732 | Ran Jing | Student in an Organized Health Care Education/Training Program | Unmc College of Medicine 985520 Nebraska Medical Center, Omaha, NE 68198-5520 | 2020-03-12 |
| Find all providers in OMAHA | ||||
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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.