CRYSTAL L SHOTWELL


Address: 6225 Humphreys Blvd, Memphis, TN 38120-2373
Phone: 9012279395

CRYSTAL L SHOTWELL (NPI# 1548653686) 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) 1548653686
Entity Type Individual
Full Name CRYSTAL L SHOTWELL
Credential APRN
Practice Address 6225 Humphreys Blvd
Memphis
TN 38120-2373
Mailing Address 965 Ridge Lake Blvd Ste 103
Memphis
TN 38120-9446
Practice Telephone 9012279395
Practice Fax Number 9012279105
Mailing Fax Number 9012278591
Enumeration Date 2015-03-13
Last Update Date 2020-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
19757 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1444 E Shelby Dr, Suite 317, Memphis, TN 381167260 9013968281

Office Location

Street Address 6225 HUMPHREYS BLVD
City MEMPHIS
State TN
Zip Code 38120-2373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356341044 Camilla R Forsythe Emergency Medicine 6225 Humphreys Blvd, Memphis, TN 38120-2373 2005-07-26
1750901328 Chandler Mims Dalton Registered Nurse 6225 Humphreys Blvd, Memphis, TN 38120-2373 2020-04-23
1790316115 Lisa Renee Dickey Nurse Practitioner 6225 Humphreys Blvd, Memphis, TN 38120-2373 2020-02-04
1528529476 Kaylan Hudson Lowry Nurse Practitioner 6225 Humphreys Blvd, Memphis, TN 38120-2373 2019-03-25
1275023095 Baptist Memorial Hospital General Acute Care Hospital 6225 Humphreys Blvd, Memphis, TN 38120-2373 2018-05-17
1659894194 Paige Elizabeth Marcantel Social Worker 6225 Humphreys Blvd, Memphis, TN 38120-2373 2017-07-17
1437574902 Rachel Mccoy Jayroe Nurse Practitioner 6225 Humphreys Blvd, Memphis, TN 38120-2373 2014-02-20
1689930653 Sheridan Children's Healthcare Services of Tennessee, PC Pediatrics 6225 Humphreys Blvd, Memphis, TN 38120-2373 2012-04-04
1801908918 Anna E Mize Radiology 6225 Humphreys Blvd, Memphis, TN 38120 2006-08-31
1538270665 Varna P Love Radiology 6225 Humphreys Blvd, Memphis, TN 38120 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730787193 Nancy Katherine Ray Nurse Practitioner 4576 Poplar Ave, Memphis, TN 38117-7502 2020-10-16
1245837533 Sandra Dee Garrison Nurse Practitioner 335 Lillian Dr, Memphis, TN 38109-4431 2020-10-08
1972119527 Oneka E Poindexter Nurse Practitioner 86 N Rembert St, Memphis, TN 38104-2766 2020-09-18
1295346260 Jimarie Nelson Nurse Practitioner 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 2020-08-13
1346869187 Tollaria Williams Nurse Practitioner 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 2020-04-12
1497388912 Michelle Denise Jones Nurse Practitioner 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 2020-02-13
1336781657 J Wilson Health LLC Nurse Practitioner 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 2019-10-09
1265081574 Natalie Staten Nurse Practitioner 7651 Shelby Forest Cv, Memphis, TN 38125-2822 2019-09-09
1881247740 Mekeilah Nevaun Johnson Nurse Practitioner 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 2019-07-19
1205488087 Wendy Powell Nurse Practitioner 1407 Union Ave Ste 405, Memphis, TN 38104-3627 2019-07-12
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Competitor

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City MEMPHIS
Zip Code 38120

Improve Information

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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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