CRYSTAL PORTER (NPI# 1245843259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245843259 |
| Entity Type | Individual |
| Full Name | CRYSTAL PORTER |
| Credential | RN |
| Practice Address |
360 Main St Hamlin WV 25523-1412 |
| Practice Telephone | 3048243448 |
| Mailing Telephone | 3048243448 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528530243 | Crystal Porter | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-19 |
| 1952818734 | Crystal Porter | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-01-03 |
| 1619032638 | Crystal Lynne Porter | Social Worker | 75 South Main Street, Chambersburg, PA 17201-2224 | 2006-12-27 |
| Street Address |
360 MAIN ST |
| City | HAMLIN |
| State | WV |
| Zip Code | 25523-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021572 | Belinda Vance | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-10-19 |
| 1730786385 | Elizabeth Dean | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-10-07 |
| 1649877291 | Kaylee Farmer | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-10-07 |
| 1548877343 | Mallory Bragg | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-09-25 |
| 1366058513 | Cotis Adkins | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-09-22 |
| 1689289902 | Mary Lyons | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-09-14 |
| 1386258317 | Ella Abshire | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-09-08 |
| 1154934933 | Chasity Adams | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-08-31 |
| 1831702836 | Elizabeth Cremeans | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-08-28 |
| 1073126108 | Ma'kayla Taylor | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061747 | Jacqueline Jeffery | Technician | 43 Lees Lake Rd, Branchland, WV 25523 | 2020-07-23 |
| 1548708530 | William Timothy Denney | Counselor | 8009 Lynn Ave, Hamlin, WV 25523 | 2017-02-09 |
| 1689053621 | Salina A. Lyter | Clinical Exercise Physiologist | 51 Tortoise Ln., Hamlin, WV 25523 | 2015-05-22 |
| 1295179711 | Tri River Transit Authority | Non-emergency Medical Transport (VAN) | 753 Marconi Drive, Hamlin, WV 25523 | 2013-04-26 |
| 1841598125 | Maggi (margaret) Louise Perl | Massage Therapist | At Sharon's Kut & Kurl White's Shopping Plaza, Maggi's Massage Therapy, Hamlin, WV 25523 | 2011-03-10 |
| 1861662199 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1295905610 | Kidney Associates Pllc | Internal Medicine | 8152-b Court Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1437336963 | Kelly Renee Kinder | Psychologist | 10 Marland Avenue, Hamlin, WV 25523 | 2008-01-28 |
| 1710184049 | Lincoln County Board of Education | Local Education Agency (LEA) | 10 Marland Ave, Hamlin, WV 25523 | 2007-06-29 |
| 1548359755 | Lincoln County Health Department | Public Health or Welfare | 8008 Court Ave, Courthouse Annex, Hamlin, WV 25523 | 2006-10-12 |
| Find all providers in zip 25523 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813076 | Deanna Carpenter | Case Manager/Care Coordinator | 360 Main St, Hamlin, WV 25523-1412 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194647 | Carol Garten | Case Manager/Care Coordinator | 248 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1349 | 2020-11-06 |
| 1659972552 | Khadijah Abdul-wahid | Case Manager/Care Coordinator | 910 Princeton Ave Apt 201, Bluefield, WV 24701-3100 | 2020-11-06 |
| 1942801014 | Ashley Bragg | Case Manager/Care Coordinator | 259 Maplewood Ln, Beaver, WV 25813-9341 | 2020-11-05 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679261 | Steven Thomas | Case Manager/Care Coordinator | 142 White Rose Dr, Daniels, WV 25832-9135 | 2020-11-02 |
| 1255931945 | Ami Moffo | Case Manager/Care Coordinator | 12 Carolina Ave, Beech Bottom, WV 26030-1006 | 2020-10-30 |
| 1023618576 | Julianna Christine Hayden | Case Manager/Care Coordinator | 3501 Winchester Avenue, Martinsburg, WV 25405-3187 | 2020-10-26 |
| 1063011781 | Judy E Grose | Case Manager/Care Coordinator | 3873 Maple Acres Rd, Bluefield, WV 24701-5055 | 2020-10-23 |
| 1326647207 | Carrie Stranko | Case Manager/Care Coordinator | 444 White Ave, Morgantown, WV 26501-6663 | 2020-10-21 |
| 1629677695 | Taylor Martin | Case Manager/Care Coordinator | 86 E Main St Ste B, Buckhannon, WV 26201-2864 | 2020-10-21 |
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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.