CRYSTAL D. ROBERTS (NPI# 1609228410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609228410 |
| Entity Type | Individual |
| Full Name | CRYSTAL D. ROBERTS |
| Credential | FNP |
| Practice Address |
200 S Houston Lake Rd Warner Robins GA 31088-9006 |
| Mailing Address |
Po Box 8818 Warner Robins GA 31095-8818 |
| Practice Telephone | 4789531800 |
| Practice Fax Number | 4789531931 |
| Mailing Telephone | 4789531800 |
| Mailing Fax Number | 4789531931 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN199360 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NURSE PRACTITIONER LICENSE NUMBER | RN199360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795865 | Crystal Parson Roberts | Physician Assistant | 100 S 10th St, Lillington, NC 27546-6690 | 2018-10-09 |
| 1366791089 | Crystal Jill Roberts | Occupational Therapy Assistant | 444 One Eleven Pl, Cookeville, TN 38506-4358 | 2012-09-10 |
| 1578716619 | Crystal Roberts | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2008-11-03 |
| 1447270509 | Crystal Leigh Roberts | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2006-07-20 |
| Street Address |
200 S HOUSTON LAKE RD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164475075 | Pain Relief Specialists, Inc | Anesthesiology | 200 S Houston Lake Rd, Suite A, Warner Robins, GA 31088-9006 | 2006-05-19 |
| 1700267994 | Kimberly Wahl | Nurse Practitioner | 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657584 | Lindsey Marie Odessa | Nurse Practitioner | 623 S Houston Lake Rd Ste 200, Warner Robins, GA 31088-9094 | 2020-10-20 |
| 1598372401 | Cristy Lynn Palmer | Nurse Practitioner | 105 Tommy Stalnaker Dr Ste 1, Warner Robins, GA 31088-8035 | 2020-09-24 |
| 1396354619 | Vonteena Gizelle Cutter | Nurse Practitioner | 237 Smithville Church Rd Ste 100, Warner Robins, GA 31088-7803 | 2020-07-23 |
| 1164066106 | Jenna Rubin Franz | Nurse Practitioner | 109 Lake Front Dr, Warner Robins, GA 31088-6017 | 2019-11-02 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1114484201 | Yolanda Renee Strong | Nurse Practitioner | 2006 Karl Dr Apt 202, Warner Robins, GA 31088-9405 | 2019-02-25 |
| 1275045528 | Felicia Graddick | Nurse Practitioner | 108 Bald Eagle Trl, Warner Robins, GA 31093-1190 | 2017-10-26 |
| 1043620966 | Advanced Wellness Care P.C. | Nurse Practitioner | 108 Byrd Way, Suite 100, Warner Robins, GA 31088 | 2014-04-30 |
| 1649460080 | Tara Patricia Davis | Nurse Practitioner | 1000 Corporate Pointe Ste 120, Warner Robins, GA 31088-3440 | 2007-08-01 |
| 1588797195 | Gail Lanterman Heaberg | Nurse Practitioner | 105 Scarlett Dr, Warner Robins, GA 31088-2517 | 2007-03-13 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on CRYSTAL D. ROBERTS.
| 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.