CRYSTAL D DIXON-LARGEN (NPI# 1215013222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215013222 |
| Entity Type | Individual |
| Full Name | CRYSTAL D DIXON-LARGEN |
| Credential | OT |
| Practice Address |
111 Davis Stuart Road Ronceverte WV 24970 |
| Practice Telephone | 3046473987 |
| Practice Fax Number | 3046473990 |
| Mailing Telephone | 3046473987 |
| Mailing Fax Number | 3046473990 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WV897 | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 7501097000 | 05 |
| Street Address |
111 DAVIS STUART ROAD |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104902113 | Jessica E Perkins | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-10-31 |
| 1588073977 | Benjamin Rittenhouse | Physical Therapist | 111 Davis Stuart Road, Ronceverte, WV 24970-0000 | 2014-08-11 |
| 1932348646 | Savannah Pixote Mcclung | Physical Therapist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2009-02-19 |
| 1124217864 | Stephanie A. Elmore | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2007-10-18 |
| 1194948414 | Talia M. Mamone | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2007-04-11 |
| 1447327770 | Andrea Catherine Karrs | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-30 |
| 1932276433 | Kara L. Hersman | Speech-Language Pathologist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-29 |
| 1942376421 | Robert A. Haas | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-28 |
| 1508945130 | Jeffrey Coleman | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-03 |
| 1922184936 | Kevin A Workman | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104902113 | Jessica E Perkins | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-10-31 |
| 1407946932 | Greenbrier Valley Physical Therapy & Fitness LLC | Specialist | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2006-10-13 |
| 1700877412 | Jane E Kelley Tallman | Specialist | 100 Taylor Ln, Ronceverte, WV 24970-1337 | 2005-11-02 |
| 1710366414 | Lauren M Burch | Specialist | 111 Davis Stuart Rd, Ronceverte, WV 24970-9549 | 2015-05-27 |
| 1124217864 | Stephanie A. Elmore | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2007-10-18 |
| 1194948414 | Talia M. Mamone | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2007-04-11 |
| 1861522526 | Surgical Specialists of The Alleghenies | Specialist | 304 Seneca Trl, Ronceverte, WV 24970-1320 | 2007-03-06 |
| 1447327770 | Andrea Catherine Karrs | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-30 |
| 1942376421 | Robert A. Haas | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-28 |
| 1508945130 | Jeffrey Coleman | Specialist | 111 Davis Stuart Road, Ronceverte, WV 24970 | 2006-11-03 |
| Find all providers in RONCEVERTE | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on CRYSTAL D DIXON-LARGEN.
| 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.