MISS GINA ROCHELLE CROSSLIN (NPI# 1497963607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497963607 |
| Entity Type | Individual |
| Full Name | MISS GINA ROCHELLE CROSSLIN |
| Credential | R.T.(T) |
| Practice Address |
1005 E 23rd St Ste 200 Fremont NE 68025-0800 |
| Mailing Address |
2814 Redwood St Amarillo TX 79107-2043 |
| Practice Telephone | 8667842329 |
| Mailing Telephone | 8063819270 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
RT40004681 | ME | Technologists, Technicians & Other Technical Service Providers |
| X | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
RHT 88718 | CA | Technologists, Technicians & Other Technical Service Providers |
| X | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
00-5416 | SC | Technologists, Technicians & Other Technical Service Providers |
| X | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
91704 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1005 E 23RD ST STE 200 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206024 | Rtg Medical | General Acute Care Hospital | 1005 E 23rd St Ste 200, Fremont, NE 68025-0800 | 2011-12-22 |
| 1386836690 | Danielle Helton | Physical Therapist | 1005 E 23rd St Ste 200, Fremont, NE 68025-0800 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 2471R0002X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiation Therapy |
| Definition to come... |
Please comment or provide details below to improve the information on MISS GINA ROCHELLE CROSSLIN.
| 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.