CRYSTAL WOODALL (NPI# 1275078925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275078925 |
| Entity Type | Individual |
| Full Name | CRYSTAL WOODALL |
| Credential | LPN |
| Practice Address |
1017 Fayetteville Rd Se Atlanta GA 30316-2932 |
| Practice Telephone | 4045643417 |
| Mailing Telephone | 4045643417 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN078503 | GA | Nursing Service Providers |
| Street Address |
1017 FAYETTEVILLE RD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184945420 | Hasani K Baharanyi | Psychiatry & Neurology | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2010-06-22 |
| 1417572546 | Rayshonna Durham | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-06-15 |
| 1528693108 | Bertrand Brown | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1629603295 | Samantha Marie Martinez | Social Worker | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-03-04 |
| 1467084020 | Lindsay Michelle Mitchiner | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-02-11 |
| 1013547660 | Alexis Flen | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2020-01-23 |
| 1316582034 | Davril Miranni Huggins-looby | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1215572912 | Shanelle Thomasina Smith | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-11-18 |
| 1528618881 | Akosua Frampton | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-09-18 |
| 1619520343 | Erica Paschel | Counselor | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802826 | Melissa Danielle Carter | Licensed Practical Nurse | 5059 Upper Elm St, Atlanta, GA 30349-1669 | 2020-05-12 |
| 1821628488 | Rashi Swift | Licensed Practical Nurse | 4555 Washington Rd, 20-3g, Atlanta, GA 30349-3034 | 2020-01-23 |
| 1811436934 | La Raven Rambo | Licensed Practical Nurse | 95 Howell Dr Sw, Atlanta, GA 30331-4020 | 2017-02-22 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1598166118 | Jaquary Moton | Licensed Practical Nurse | 3648 Utoy Dr Sw, Atlanta, GA 30331-8617 | 2014-09-15 |
| 1013341486 | Lillian L Freeman | Licensed Practical Nurse | 16103 Skyline Ln Ne, Atlanta, GA 30345-7915 | 2013-08-21 |
| 1083055503 | Theresa Richie | Licensed Practical Nurse | 2546 Wrangler Dr Sw, Atlanta, GA 30331-9453 | 2013-07-12 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1487904900 | Alecia Lee | Licensed Practical Nurse | 1050 Lenox Park Blvd Ne, 16103, Atlanta, GA 30319-5826 | 2012-09-12 |
| 1669757449 | Katrina Tolliver Jordan | Licensed Practical Nurse | 6600 Peachtree Dunwoody Road, Bulding 400 Suite 125, Atlanta, GA 30328 | 2011-10-12 |
| Find all providers in ATLANTA | ||||
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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.