CRYSTAL ALLEN (NPI# 1316598717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316598717 |
| Entity Type | Individual |
| Full Name | CRYSTAL ALLEN |
| Practice Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Mailing Address |
5350 Sw 125th Ave Miramar FL 33027-5475 |
| Practice Telephone | 3055851111 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11004479 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4200 Sw 54th Ct, Ft Lauderdale, FL 333146726 | 9542899980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184108375 | Crystal Denise Allen | Specialist | 3029 Cleveland Ave, Columbus, OH 43224-4421 | 2018-09-24 |
| 1013377480 | Crystal Lynn Allen | Counselor | 1311 Crosby Rd, Oak Harbor, WA 98277-9313 | 2016-02-29 |
| 1942571401 | Crystal Brooke Allen | Behavioral Analyst | 5604 S Foxboro Trl, Springfield, MO 65804-5202 | 2012-01-14 |
| 1083229918 | Crystal Dawn Allen | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2020-09-08 |
| 1811527492 | Crystal Allen | Registered Nurse | 16 Hospital Cir Ste A, Batesville, AR 72501-7343 | 2020-01-22 |
| 1689214850 | Crystal Renee Allen | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-01-15 |
| 1861993834 | Crystal Allen | Behavior Technician | 453 King St, Cocoa, FL 32922-7621 | 2018-02-26 |
| 1477071298 | Crystal Renee Allen | Behavior Technician | 7310 W Mcnab Rd Ste 204, Tamarac, FL 33321-5328 | 2017-08-31 |
| 1144693011 | Crystal Sweet Allen | Nurse Practitioner | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2015-11-02 |
| 1154760874 | Crystal Cunningham Allen | Dentist | 1100 Professional Dr, Greenville, NC 27858-5989 | 2013-06-15 |
| Street Address |
1611 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722925 | Emma Leon | Nurse Practitioner | 3663 S Miami Ave Fl 33133, Miami, FL 33133-4253 | 2020-02-17 |
| 1447815907 | Aline Paredes | Nurse Practitioner | 150 Se 2nd Ave Ph 5, Miami, FL 33131-1516 | 2019-05-09 |
| 1700358777 | Obunadike Mbanugo | Nurse Practitioner | 10855 Sw 112th Ave Apt 118, Miami, FL 33176-3292 | 2019-01-01 |
| 1528539764 | Jacqueline Iriarte | Nurse Practitioner | 12590 Sw 69th Ct, Miami, FL 33156-6225 | 2018-12-16 |
| 1164888285 | Marien Marban Fernandez | Nurse Practitioner | 3762 Sw 27th Ln, Miami, FL 33134-7222 | 2016-01-05 |
| 1275907594 | Menealth Consulting Services Corp | Nurse Practitioner | 2815 Nw 88th St, Miami, FL 33147-3777 | 2015-11-24 |
| 1649695560 | Pascale Kidane | Nurse Practitioner | 1900 N Bayshore Dr Ste 1a, Miami, FL 33132-3002 | 2014-02-28 |
| 1154746725 | Rebecca Kostopoulos | Nurse Practitioner | 185 Sw 7th St Apt 4207, Miami, FL 33130-2988 | 2014-02-19 |
| 1457775553 | Linda Mays | Nurse Practitioner | 1001 Nw 54th St Ste 103, Miami, FL 33127-1807 | 2014-02-10 |
| 1285874792 | Sylma Maria Millares | Nurse Practitioner | 10250 Sw 56th St Ste C101, Miami, FL 33165-7065 | 2009-02-23 |
| Find all providers in MIAMI | ||||
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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.