MISS CRYSTAL JADE LEE (NPI# 1265979462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265979462 |
| Entity Type | Individual |
| Full Name | MISS CRYSTAL JADE LEE |
| Credential | ATC, CES |
| Practice Address |
500 El Camino Real Santa Clara CA 95050-4345 |
| Mailing Address |
4343 Short Hill Rd Oakland CA 94605-4646 |
| Practice Telephone | 4085513193 |
| Mailing Telephone | 5102899240 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043841364 | Crystal H Lee | Specialist/Technologist | 603 Brookwood Dr, Thomaston, GA 30286-4156 | 2020-01-27 |
| 1699212282 | Crystal Lee | Home Health | 1725 Dover Ct, Ypsilanti, MI 48198-3214 | 2017-01-20 |
| 1750737672 | Crystal Lee | Counselor | 751 E Bayou Pines Dr., Suite C, Lake Charles, LA 70601 | 2016-05-10 |
| 1093130445 | Crystal Lee | Lactation Consultant, Non-RN | 335 W Santa Cruz Dr, Tempe, AZ 85282-4844 | 2014-02-21 |
| 1194984534 | Crystal Lee | Physical Therapy Assistant | 860 Highway 62 E Ste 10, Mountain Home, AR 72653-3200 | 2008-06-02 |
| 1306042858 | Crystal Magan Lee | Licensed Vocational Nurse | 9004 Birchleaf Ave, Downey, CA 90240-2309 | 2007-06-22 |
| 1154408946 | Crystal Unhe Lee | Optometrist | 2273 Bel Pre Rd, Silver Spring, MD 20906-2204 | 2006-11-01 |
| 1710584313 | Crystal Lee | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-06 |
| 1801404744 | Crystal Lee | Nurse Practitioner | 287 Old Marlton Pike, Medford, NJ 08055-8761 | 2020-07-16 |
| 1528530342 | Crystal Ann Lee | Nurse Practitioner | 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3006 | 2018-12-18 |
| Street Address |
500 EL CAMINO REAL |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659460673 | Elizabeth Joy Gilmore | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95053-0001 | 2006-10-11 |
| 1770104184 | Jillandra Rovaris | Psychologist | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2020-04-27 |
| 1750942587 | Mary Alanna Conrad | Nurse Practitioner | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2019-06-24 |
| 1316449283 | Jaclyn Michelle Alongi-lee | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2018-03-06 |
| 1225545189 | Justin Rojo | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2018-01-01 |
| 1316460603 | Ashley Nicole Broughton | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95053-8660 | 2017-07-19 |
| 1558803544 | Sean Paul Shahmirzadi | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2016-11-08 |
| 1811340151 | Francisco Gallardo-ramirez Jr. | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95053-0001 | 2016-07-21 |
| 1912385204 | Yu-hsi Hu | General Practice | 500 El Camino Real, Santa Clara, CA 95053-1000 | 2015-05-07 |
| 1952734907 | John James Ursone | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548806151 | Saul Zendejas | Specialist/Technologist | 3000 Mission College Blvd, Santa Clara, CA 95054-1804 | 2019-11-19 |
| 1568967164 | Christine Maria James | Specialist/Technologist | 664 Nicholson Ave, Santa Clara, CA 95051-5730 | 2018-03-26 |
| 1699285965 | Andrew Hyun Soo Chang | Specialist/Technologist | 1770 Hillebrant Pl, Santa Clara, CA 95050-3750 | 2017-10-02 |
| 1487196648 | Andrew Mccabe | Specialist/Technologist | 1550 Market St Apt 6, Santa Clara, CA 95050-5371 | 2016-11-04 |
| 1528442530 | Marielle Louise L'heureux | Specialist/Technologist | 3374 Princeton Ct, Santa Clara, CA 95051-5520 | 2015-07-20 |
| 1396152856 | Jonathan Marques | Specialist/Technologist | 2303 Mission Glen Dr, Santa Clara, CA 95051-1214 | 2014-07-16 |
| 1871784983 | Joshua Tharyn Sims | Specialist/Technologist | 4949 Centennial Blvd, Santa Clara, CA 95054-1229 | 2007-08-05 |
| 1659460673 | Elizabeth Joy Gilmore | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95053-0001 | 2006-10-11 |
| 1588621411 | Laurie R Bachand | Specialist/Technologist | 1971 Saint Lawrence Dr, Santa Clara, CA 95051-2129 | 2006-04-26 |
| 1316449283 | Jaclyn Michelle Alongi-lee | Specialist/Technologist | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2018-03-06 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
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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.