CRYSTAL M KING (NPI# 1417262023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262023 |
| Entity Type | Individual |
| Full Name | CRYSTAL M KING |
| Credential | ANP-C |
| Practice Address |
500 Pineview Dr Ste 205 Kernersville NC 27284-3814 |
| Mailing Address |
Po Box 440210 Nashville TN 37244-0210 |
| Practice Telephone | 3363106115 |
| Mailing Telephone | 3367146400 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5004805 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | NCD188D123 | 01 | |
| NC | 1417262023 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 Kimel Park Dr., Ste 100, Winston Salem, NC 27103 | 3367146400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669183 | Crystal Lane King | Emergency Medical Technician, Paramedic | 736 Lake Carolyn Pkwy Apt 146w, Irving, TX 75039-3995 | 2020-08-14 |
| 1649671801 | Crystal King | Licensed Practical Nurse | 5410 Transportation Ste 4, Garfield Heights, OH 44125-5300 | 2014-09-08 |
| 1194037341 | Crystal King | Registered Nurse | 2539 E 82nd St, Cleveland, OH 44104-2239 | 2010-07-04 |
| 1538380142 | Crystal Losch King | Physical Therapist | 2050kenny Rd, Columbus, OH 43221 | 2007-05-01 |
| 1437670429 | Crystal D King | Case Manager/Care Coordinator | 18 County Road 458, Mountain Home, AR 72653-8212 | 2017-06-29 |
| 1740257260 | Crystal King | Physical Therapist | 5949 W Raymond St, Indianapolis, IN 46241-4348 | 2006-03-02 |
| Street Address |
500 PINEVIEW DR STE 205 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120745 | Pa Xiong | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-10-06 |
| 1548877814 | Whitney Ann Self | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-30 |
| 1851907166 | Grace Ellen Ligon | Social Worker | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-22 |
| 1689288847 | Jeanne A Doherty | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-04 |
| 1538773031 | Kristen Byrne | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-02 |
| 1174140776 | Samantha Elizabeth Smith | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-06-30 |
| 1174148266 | Morgan Perry | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-06-15 |
| 1487276499 | Nh-cl Clinics, LLC | Family Medicine | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-05-13 |
| 1932721198 | Caralee Amber Mason | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-05-11 |
| 1346869617 | Tiffany Wu | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873664 | Rosalynn Maria Solis | Nurse Practitioner | 1407 Regal View Dr, Kernersville, NC 27284-0060 | 2020-08-28 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1215321559 | Meagan Early Cockfield | Nurse Practitioner | 500 Pineview Dr Ste 101, Kernersville, NC 27284 | 2015-03-25 |
| 1831476019 | Amy E. Mitchell | Nurse Practitioner | 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284-7156 | 2011-11-15 |
| 1093811705 | Dorine H Martin | Nurse Practitioner | 802 Birch Lane, Suite C, Kernersville, NC 27284-2759 | 2006-09-16 |
| 1265407605 | Ladonna Ward Cook | Nurse Practitioner | 1471 Jag Branch Blvd Ste 105, Kernersville, NC 27284 | 2006-02-21 |
| 1174140776 | Samantha Elizabeth Smith | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-06-30 |
| 1275167868 | Alicia Jane Carter | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-02-24 |
| 1508321043 | Marissa Gaither Hite | Nurse Practitioner | 1471 Jag Branch Blvd Ste 103, Kernersville, NC 27284-6956 | 2019-02-08 |
| 1093200248 | Omobolawa Oreoluwa Olagoke | Nurse Practitioner | 1730 Kernersville Medical Pkwy Ste 203, Kernersville, NC 27284 | 2018-06-28 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.