CRYSTAL KEITH (NPI# 1265859417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265859417 |
Entity Type | Individual |
Full Name | CRYSTAL KEITH |
Practice Address |
508 Cactus Ct Lugoff SC 29078-8816 |
Practice Telephone | 8034844180 |
Practice Fax Number | 8034844580 |
Mailing Telephone | 8034844180 |
Mailing Fax Number | 8034844580 |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
92436 | SC | Nursing Service Providers |
Street Address |
508 CACTUS CT |
City | LUGOFF |
State | SC |
Zip Code | 29078-8816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
Find all providers in zip 29078 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
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.