CRYSTAL M KING


Address: 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814
Phone: 3363106115

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5004805 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE NCD188D123 01
NC 1417262023 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
160 Kimel Park Dr., Ste 100, Winston Salem, NC 27103 3367146400

Other Providers CRYSTAL KING

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

Office Location

Street Address 500 PINEVIEW DR STE 205
City KERNERSVILLE
State NC
Zip Code 27284-3814

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City KERNERSVILLE
Zip Code 27284

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Dataset Information

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.

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