CRYSTAL DEANNA REDD (NPI# 1578820114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578820114 |
| Entity Type | Individual |
| Full Name | CRYSTAL DEANNA REDD |
| Credential | LPC |
| Practice Address |
2611 Lily Way Northport AL 35473-1775 |
| Practice Telephone | 6307689645 |
| Practice Fax Number | 2053397246 |
| Mailing Telephone | 6307689645 |
| Mailing Fax Number | 2053397246 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
4173 | AL | Behavioral Health & Social Service Providers |
| Street Address |
2611 LILY WAY |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199265 | Mechelle Louise Frazier | Counselor | 650 Energy Center Blvd Ste 1702, Northport, AL 35473-5802 | 2019-02-04 |
| 1063904175 | Sonya W Guy | Counselor | 13886 Grand Pointe Blvd, Northport, AL 35475-4381 | 2018-06-04 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1588066948 | Anna Orr Marshall | Counselor | 1331 Martin Rd E, Northport, AL 35473-7246 | 2014-09-17 |
| 1164868766 | Teresa B. Taylor | Counselor | 720 Energy Center Blvd Ste 502, Northport, AL 35473-2794 | 2013-05-22 |
| 1992042766 | Jorge Octavio Villella IIi | Counselor | 1 Trescott Path, Northport, NY 11768-2535 | 2013-01-13 |
| 1083930804 | Tuscaloosa Counseling, LLC | Counselor | 3665 Watermelon Rd, Northport, AL 35473-5139 | 2010-04-19 |
| 1649456831 | Harvey A Edwards Iv | Counselor | 3665 Watermelon Road, Northport, AL 35473 | 2008-01-17 |
| 1639283120 | Beverly Jalon Guenther | Counselor | 720 Energy Center Blvd, Suite 502, Northport, AL 35473-5828 | 2006-08-19 |
| 1730107947 | John Thorington | Counselor | 5906 6th Ave, Northport, AL 35473-7437 | 2006-07-17 |
| Find all providers in NORTHPORT | ||||
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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.