CRYSTELLE LEEELLEN CARMACK (NPI# 1295031169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295031169 |
| Entity Type | Individual |
| Full Name | CRYSTELLE LEEELLEN CARMACK |
| Credential | CRNP |
| Practice Address |
1106 N Cave St Tuscumbia AL 35674-1358 |
| Mailing Address |
89 Civic Center Ln Lake Havasu City AZ 86403-0810 |
| Practice Telephone | 2563867774 |
| Practice Fax Number | 2563867780 |
| Mailing Telephone | 9288546120 |
| Mailing Fax Number | 9288541398 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-109160 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 S Jackson Hwy Ste 300, Sheffield, AL 356605773 | 2563834447 | 2563817999 |
| Street Address |
1106 N CAVE ST |
| City | TUSCUMBIA |
| State | AL |
| Zip Code | 35674-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1144839069 | Anna Margaret James | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674-1358 | 2020-07-27 |
| 1639436090 | Dearl V. Birdsong Md | Surgery | 1106 N Cave St, Tuscumbia, AL 35674-1358 | 2012-04-23 |
| 1619240710 | Alan Billsby, Do | Surgery | 1106 N Cave St, Tuscumbia, AL 35674-1358 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1417115288 | Thomas Armstead Branscome | Dentist | 208 East Fifth Street, Tuscumbia, AL 35674 | 2008-05-29 |
| 1285712075 | Ent & Allergy Institute of North Al | Otolaryngology | 1106 North Cave Street, Tuscumbia, AL 35674 | 2006-11-01 |
| 1497840912 | Penny Oliver Townsend | Hearing Instrument Specialist | 116 East 5th Street, Tuscumbia, AL 35674 | 2006-10-03 |
| 1962470914 | David Bruce Laughlin | Family Medicine | 1404 Avalon Ave, Suite B-00, Tuscumbia, AL 35674 | 2006-03-08 |
| 1033192695 | Air Evac Ems Inc | Ambulance | 1010 3 Mile Ln, Tuscumbia, AL 35674 | 2005-11-28 |
| 1912256348 | Katie Elizabeth Fulmer | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2012-08-30 |
| 1205148939 | Samanger Nicole Purcell | Specialist | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2010-07-10 |
| 1225142227 | Charles Michael Cowley | Dentist | 121 E 5th St, Tuscumbia, AL 35674 | 2006-08-18 |
| Find all providers in zip 35674 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1780173591 | Natasha Leann Taylor | Nurse Practitioner | 4951 Wilson Dam Rd, Tuscumbia, AL 35674-9141 | 2018-05-07 |
| 1346698503 | Tiffany Reshea Riner | Nurse Practitioner | 218 E 5th St Ste 2, Tuscumbia, AL 35674-2520 | 2016-05-28 |
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1144839069 | Anna Margaret James | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674-1358 | 2020-07-27 |
| 1851840888 | Lister Healthcare Corporation | Nurse Practitioner | 1309 State St, Suite A, Tuscumbia, AL 35674-1772 | 2016-10-03 |
| 1518317684 | Alicia Nix | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2016-06-20 |
| 1376933663 | Allyson D Johnson | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2015-01-26 |
| 1487075776 | Katie Schlarp | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2014-01-03 |
| Find all providers in TUSCUMBIA | ||||
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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.