CRYSTAL MCMAHAN (NPI# 1285090647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285090647 |
| Entity Type | Individual |
| Full Name | CRYSTAL MCMAHAN |
| Credential | APRN |
| Practice Address |
2526 Highway 65 S Suite 203 Clinton AR 72031-6657 |
| Mailing Address |
1094 Catholic Point Rd Center Ridge AR 72027-8403 |
| Practice Telephone | 5017454914 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004609 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689943698 | Crystal N Mcmahan | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2011-12-20 |
| 1396969200 | Crystal Hamilton Mcmahan | Radiology | 4003 Kresge Way, Ste 115, Louisville, KY 40207-4652 | 2007-04-12 |
| Street Address |
2526 HIGHWAY 65 S SUITE 203 |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982871 | Keith A Coward | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2005-06-16 |
| 1265068019 | Amy Shaw | Counselor | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2020-03-12 |
| 1235624875 | Clinton Butler, LLC | Durable Medical Equipment & Medical Supplies | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2018-06-26 |
| 1487191987 | Tanna Shockley | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2017-01-23 |
| 1437526241 | Lisa Edwards | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2015-08-27 |
| 1114318532 | Kyle Cotton | Physician Assistant | 2526 Highway 65 S, Clinton, AR 72031 | 2015-02-06 |
| 1710387584 | Alternative Oppurtunities | Community/Behavioral Health | 2526 Highway 65 S, Ste 202, Clinton, AR 72031-6657 | 2014-08-29 |
| 1144466970 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2008-12-29 |
| 1366614935 | Ozark Medical Clinic, LLC | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2008-03-24 |
| 1013190040 | Cheryl L Winningham | Case Manager/Care Coordinator | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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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.