CRYSTAL WALLER (NPI# 1417365347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417365347 |
| Entity Type | Organization |
| Organization Name | CRYSTAL WALLER |
| Practice Address |
3040 Charles Carr Pl Cleveland OH 44104-4106 |
| Practice Telephone | 2166099421 |
| Mailing Telephone | 2166099421 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | CRYSTAL MICHELLE WALLER (LPN) |
| Authorized Official Telephone | 2166099421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | PN141935 | OH | Agencies |
| Street Address |
3040 CHARLES CARR PL |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44104-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1477058527 | Kwananda A Plato | Technician | 9717 Elwell Ave., Cleveland, OH 44104 | 2018-03-29 |
| 1073035887 | Tia Marie Heard | Home Health | 4591 Quincy Avenue Building Q, Cleveland, OH 44104 | 2017-07-13 |
| 1407306608 | Shelby Mcquiller | Social Worker | 2632 E 115th St, Cleveland, OH 44104 | 2016-10-11 |
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1164827705 | Eboni Danyale Jordan | Licensed Practical Nurse | 3143 East 99th, Cleveland, OH 44104 | 2014-10-24 |
| 1902224157 | Woodland Academy, Inc. | Local Education Agency (LEA) | 10615 Lamontier Blvd., Cleveland, OH 44104 | 2014-04-04 |
| 1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
| 1023387057 | Roslyn Jeanette Carter | Home Health Aide | 9423 Ramona Blvd, Cleveland, OH 44104 | 2011-12-20 |
| Find all providers in zip 44104 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938447 | Trusting Loyal Caring Tlc Homemakers Service | Nursing Care | 59 Noblin Road, Cleveland, MS 38732-9571 | 2018-10-18 |
| 1447764287 | Covenant Life Management, LLC | Nursing Care | 485 Central Ave Ne, Cleveland, TN 37311-5541 | 2017-11-30 |
| 1437552262 | Anita Dooms | Nursing Care | 4735 Walford Rd # 16, Cleveland, OH 44128-5125 | 2014-10-07 |
| 1669892196 | Courtney Speed | Nursing Care | 19101 Shawnee Ave, Cleveland, OH 44119-2715 | 2014-04-23 |
| 1215272703 | Dayna Frost | Nursing Care | 16115 Judson Drive, Cleveland, OH 44128 | 2012-12-10 |
| 1508163502 | Norma J Jimmison | Nursing Care | 3850 Grenville Rd, Cleveland, OH 44118-3734 | 2011-02-28 |
| 1881859544 | Genesis Carelink | Nursing Care | 705 E Sunflower Road, Cleveland, MS 38732-1888 | 2008-07-22 |
| 1316138431 | John Anthony Powell Sr. | Nursing Care | 697 E 91st St, Cleveland, OH 44108-1232 | 2007-08-05 |
| 1992337752 | Perfect Health Care Services | Nursing Care | 7100 Euclid Ave Ste 220, Cleveland, OH 44103-4038 | 2020-02-10 |
| 1164996286 | Brianna Jackson | Nursing Care | 10531 Garfield Ave, Cleveland, OH 44108-2727 | 2019-01-11 |
| Find all providers in CLEVELAND | ||||
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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.