KRYSTLE ANDERSON (NPI# 1598256224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598256224 |
| Entity Type | Individual |
| Full Name | KRYSTLE ANDERSON |
| Practice Address |
4289 Sw Battaglia Pl Gresham OR 97080-8645 |
| Mailing Address |
10117 Se Sunnyside Rd Suite 1179 Clackamas OR 97015 |
| Practice Telephone | 5039304385 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124363544 | Krystle Anderson | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2012-12-11 |
| Street Address |
4289 SW BATTAGLIA PL |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-8645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467007252 | Shanay Burch | Home Health Aide | 1802 W Highway 378, Gresham, SC 29546-4080 | 2019-08-07 |
| 1134774938 | House of Magnolia's Home Health Agency LLC | Home Health Aide | 1802 W Highway 378, Gresham, SC 29546-4080 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122392 | Barbara Mccullough | Home Health Aide | 254 Serenity Ln, Grants Pass, OR 97526-9756 | 2019-12-30 |
| 1447899158 | Kellie Marie Shepherd | Home Health Aide | 686 Sw Lorraine Dr, Madras, OR 97741-9333 | 2019-12-27 |
| 1073150074 | Clair's II Adult Foster Home LLC | Home Health Aide | 63249 Everest Rd, Coos Bay, OR 97420-7238 | 2019-12-09 |
| 1124665914 | Rolando Luis Chong | Home Health Aide | 326 Carnelia St Se, Salem, OR 97306-2077 | 2019-11-29 |
| 1376194019 | Peggy Mullett | Home Health Aide | 29185 Blake Dr, Corvallis, OR 97330-9306 | 2019-09-24 |
| 1477031359 | Michael Dee Slay | Home Health Aide | 124 Pine St Apt 210, Klamath Falls, OR 97601-6359 | 2018-08-01 |
| 1588150965 | Albert Wayne Clark Jr. | Home Health Aide | 4343 Main St, Springfield, OR 97478-7647 | 2018-07-09 |
| 1326556077 | Irene Elaine Hill | Home Health Aide | 315 N Alberta St Apt 48, Portland, OR 97217-2848 | 2018-01-16 |
| 1245789197 | Angela Rae Bailey | Home Health Aide | 4239 Clay Pl Se, Albany, OR 97322-6353 | 2016-10-03 |
| 1275986960 | Holly Garland | Home Health Aide | 22085 Sw Augusta Ln, Hillsboro, OR 97123-6557 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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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.