KRYSTAL COLLINS


Address: 21010 S 220th Pl, Queen Creek, AZ 85142-5583
Phone: 6025022388

KRYSTAL COLLINS (NPI# 1477979607) 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) 1477979607
Entity Type Individual
Full Name KRYSTAL COLLINS
Practice Address 21010 S 220th Pl
Queen Creek
AZ 85142-5583
Practice Telephone 6025022388
Enumeration Date 2014-03-12
Last Update Date 2014-03-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 514514 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ PROFESSIONAL FOSTER PARENT 5807215 01

Other Providers KRYSTAL COLLINS

NPI Name Taxonomy Address Enumeration
1780230375 Krystal Collins Nurse Practitioner 9800 Baptist Health Dr Ste 600, Little Rock, AR 72205-6244 2019-08-10
1811401409 Krystal Alexandra Collins Speech-Language Pathologist 135 River St, New Canaan, CT 06840-4236 2017-11-19
1003341686 Krystal Jacquelle Collins Counselor 104 Sassafras St, Amite, LA 70422-3425 2017-04-20
1285920199 Krystal L Collins Community Health Worker 325 Sw Frazier Ave, Topeka, KS 66606-1963 2011-06-20
1669799169 Krystal Ann Collins Nurse Practitioner 801 N Weisgarber Rd, Suite 200, Knoxville, TN 37909-2706 2010-04-23

Office Location

Street Address 21010 S 220TH PL
City QUEEN CREEK
State AZ
Zip Code 85142-5583

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093346033 Arizona Dental Professionals, P.C. Dentist 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 2020-01-29
1073158903 Jonathan Corey Barber Physical Therapy Assistant 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 2019-11-14
1689142333 Erin Sohr Occupational Therapy Assistant 4594 W Federal Way, San Tan Valley, AZ 85142 2018-11-10
1083180723 Katelyn Hannabach Physician Assistant 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 2018-10-20
1043701899 Brittany Leigh Amor Dentist 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 2018-05-28
1861925604 Shani Thompson Student in an Organized Health Care Education/Training Program 22437 S 209th Way, Queen Creek, AZ 85142 2017-04-08
1689115164 360 Physical Therapy LLC Physical Therapist 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 2017-03-16
1891233714 Candee J. Eisenhart Nurse Practitioner 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 2017-02-11
1790231546 Carrie Church Nurse Practitioner 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 2016-08-31
1669836649 Horizon Health and Wellness, Inc. Community/Behavioral Health 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 2016-04-06
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588998520 P.o.w.e.r. House Youth Facility Residential Treatment Facility, Emotionally Disturbed Children 3039 E Superior Rd, Queen Creek, AZ 85143-4580 2009-09-23
1174774608 Yajcinllc Residential Treatment Facility, Emotionally Disturbed Children 1609 E Heather Dr, Queen Creek, AZ 85240-5682 2008-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528666039 Rehoboth LLC Residential Treatment Facility, Emotionally Disturbed Children 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 2020-10-16
1962022665 New Hope of Arizona, Inc. Residential Treatment Facility, Emotionally Disturbed Children 8710 W Watkins St, Tolleson, AZ 85353-9028 2020-04-22
1639798143 Anthony Udoinwang Residential Treatment Facility, Emotionally Disturbed Children 10435 W Reade Ave, Glendale, AZ 85307-4237 2020-04-14
1033756358 Native Music Coalition Residential Treatment Facility, Emotionally Disturbed Children 5150 S Crazy Cat Ln, Tucson, AZ 85735 2019-12-05
1013558311 Back To Life Incorporated Residential Treatment Facility, Emotionally Disturbed Children 6420 W Cocopah St, Phoenix, AZ 85043 2019-10-08
1487118865 Serenity Preferred LLC Residential Treatment Facility, Emotionally Disturbed Children 17829 W Columbine Dr, Surprise, AZ 85388-5628 2019-01-30
1407333958 Copa's Caring Hands LLC. Residential Treatment Facility, Emotionally Disturbed Children 42251 W Bravo Dr, Maricopa, AZ 85138-2295 2018-07-26
1538668983 Starks Homes LLC Residential Treatment Facility, Emotionally Disturbed Children 7325 E Fayette St, Tucson, AZ 85730-2324 2018-02-12
1881100147 Anna Marie Barrios Residential Treatment Facility, Emotionally Disturbed Children 18811 N 7th Dr, Phoenix, AZ 85027-5508 2017-12-22
1033625926 Youth Transition Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1190 S Boulder St Unit D, Gilbert, AZ 85296-3792 2017-12-14
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Competitor

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City QUEEN CREEK
Zip Code 85142

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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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