DR. CRYSTAL HENDERSON (NPI# 1184717688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184717688 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL HENDERSON |
| Credential | PHARM.D. |
| Practice Address |
1001 Lake Carolyn Pkwy Apt 516 Irving TX 75039-4816 |
| Practice Telephone | 4436214808 |
| Mailing Telephone | 4436214808 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
48233 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265663827 | Crystal Henderson | Social Worker | 15 Dove Ln, Middletown, CT 06457-6203 | 2009-07-30 |
| 1053453720 | Crystal Henderson | Physical Therapist | 930 Barachel Ln Ste 400, Greensburg, IN 47240-3253 | 2007-02-12 |
| 1124519806 | Crystal Henderson | Counselor | 401 E 162nd St Ste 103, South Holland, IL 60473-2237 | 2018-05-29 |
| 1952757247 | Crystal Laree Henderson | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2016-05-05 |
| 1790120228 | Crystal Henderson | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-05-10 |
| 1619296852 | Crystal Sanders Henderson | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Ste 404, Metairie, LA 70002-3531 | 2010-05-27 |
| Street Address |
1001 LAKE CAROLYN PKWY APT 516 |
| City | IRVING |
| State | TX |
| Zip Code | 75039-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669900833 | Samantha Marie Vogel | Pharmacist | 1301 W 38th St Ste 700, Austin, TX 78705-1016 | 2017-05-31 |
| 1053761676 | Nina Vadiei | Pharmacist | 3400 Harmon Ave Apt 469, Austin, TX 78705-2375 | 2016-06-14 |
| 1407106750 | Morgan Snyder | Pharmacist | 7603 Eastcrest Dr, Austin, TX 78752-1409 | 2012-09-13 |
| 1336341254 | Jerry Wade Lee | Pharmacist | 1950 Aspen, Lubbock, TX 79403 | 2007-06-04 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1174513972 | Catherine Susan Hall | Pharmacist | 325 Wallace St, Seguin, TX 78155-5959 | 2005-10-24 |
| 1013902519 | Leah B Nunez | Pharmacist | 1401 S Rangerville Rd, Harlingen, TX 78552-7638 | 2005-09-12 |
| 1740281716 | Mishelle R Seiler | Pharmacist | 8720 Country Glen Xing, Plano, TX 75024-3780 | 2005-08-02 |
| 1427058346 | Delphina Chikamele Mitima-samuel | Pharmacist | 9727 Mckinney Ln, Missouri City, TX 77459 | 2005-07-21 |
| 1568460202 | Lawrence J Cohen | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2005-07-07 |
| 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.