CRYSTAL REVILL (NPI# 1487748281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487748281 |
| Entity Type | Individual |
| Full Name | CRYSTAL REVILL |
| Practice Address |
300 W Tryon St Hillsborough NC 27278-2438 |
| Mailing Address |
6015 Fayetteville Rd Suite 211 Durham NC 27713-6254 |
| Practice Telephone | 9197321150 |
| Practice Fax Number | 9197321179 |
| Mailing Telephone | 9195720001 |
| Mailing Fax Number | 9195720004 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5443 | NC | Behavioral Health & Social Service Providers |
| Street Address |
300 W TRYON ST |
| City | HILLSBOROUGH |
| State | NC |
| Zip Code | 27278-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760576722 | Orange County | Clinical Medical Laboratory | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2006-10-03 |
| 1154850808 | Lauren Ashley Porter Kager | Dietitian, Registered | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2017-06-07 |
| 1609319342 | Elizabeth Boudreau | Dietitian, Registered | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2016-11-29 |
| 1457753485 | Jean Mcdonald | Nurse Practitioner | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2014-09-22 |
| 1396167425 | Matthew Dallas | Dietitian, Registered | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2014-01-08 |
| 1598194581 | Audrey Clark Driskill | Nurse Practitioner | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2013-11-11 |
| 1083041008 | Melissa Yarbrough James | Dietitian, Registered | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2013-10-04 |
| 1083050389 | Orange County | Dentist | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2013-05-14 |
| 1780921395 | Elizabeth M Strawbridge | Dietitian, Registered | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2013-01-16 |
| 1821234113 | Jennifer Elizabeth Grover | Nutritionist | 300 W Tryon St, Hillsborough, NC 27278-2438 | 2008-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504600 | Drs. Latta & Lau, Dds, Pllc | Dentist | 119 Mayo St, Suite 110, Hillsborough, NC 27278 | 2020-06-26 |
| 1073080149 | Loy Anne Campbell | Occupational Therapist | 115 Oakdale Drive, Suite 8, Hillsborough, NC 27278 | 2018-10-26 |
| 1144726894 | Johanna Janssen | Physical Therapist | 1101 Bartlett Circle, Hillsborough, NC 27278 | 2018-04-02 |
| 1609305309 | Caroline Latta | Dentist | 614 Arthur Minnis Rd, Hillsborough, NC 27278 | 2017-06-06 |
| 1477089811 | Rachel Bethany Berlin | Nurse Practitioner | 276 S Churton Street, 200, Hillsborough, NC 27278 | 2017-05-04 |
| 1083155956 | Jordan Busse | Physical Therapist | 2410 Summit Dr, Hillsborough, NC 27278 | 2017-03-13 |
| 1407394174 | Dylan Thomas Twiddy | Specialist/Technologist | 3032 Prophet Dr., Hillsborough, NC 27278 | 2017-02-02 |
| 1407307572 | Nancy S Hudspeth | Counselor | 204 Saponi Drive, Hillsborough, NC 27278 | 2016-10-24 |
| 1164877536 | Andrea Marie Christian | Physical Therapist | 267 S. Churton Street, Hillsborough, NC 27278 | 2016-05-04 |
| 1578962536 | Family Advancing More Effectively, Inc. | Community/Behavioral Health | 236 Orange Grove Street, Ste. 13, Hillsborough, NC 27278 | 2014-08-15 |
| Find all providers in zip 27278 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329413 | Tracy Laing | Counselor | 390 Amwell Rd Ste 104, Hillsborough, NJ 08844-1226 | 2020-02-24 |
| 1073164695 | Cara Bonsma | Counselor | 17 Valinor Rd, Hillsborough, NJ 08844-1724 | 2019-09-25 |
| 1083161137 | Jacob Long | Counselor | 803 Us Highway 70a E, Hillsborough, NC 27278-8528 | 2016-09-07 |
| 1619306263 | Cheryl Hansen | Counselor | 1026 Ranger Dr, Hillsborough, NC 27278-9033 | 2013-11-04 |
| 1164869749 | Cara Goldstein | Counselor | 701 E Brookside Ln, Hillsborough, NJ 08844-4858 | 2013-05-23 |
| 1679894109 | Malcolm Thomas Carr | Counselor | 323 Eden Drive, Hillsborough, NC 27278 | 2010-06-18 |
| 1265662332 | Viki Lisa Vetrano | Counselor | 1510 Davis Rd, Hillsborough, NC 27278-8397 | 2009-07-22 |
| 1821257692 | Carol Claire Gagnon | Counselor | 6303 Shady Glen Trl, Hillsborough, NC 27278-8832 | 2008-06-05 |
| 1275738395 | Kieffer Edwin Bailey IIi | Counselor | 204 Millstone Dr., Hillsborough, NC 27278-8776 | 2007-06-19 |
| 1538253877 | Joseph F. Rampulla | Counselor | 719 Us Highway 206 Ste 106a, Hillsborough, NJ 08844-1529 | 2006-10-03 |
| Find all providers in HILLSBOROUGH | ||||
| City | HILLSBOROUGH |
| Zip Code | 27278 |
Please comment or provide details below to improve the information on CRYSTAL REVILL.
| 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.