CRYSTAL MOSS PATTERSON (NPI# 1689163412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689163412 |
| Entity Type | Individual |
| Full Name | CRYSTAL MOSS PATTERSON |
| Credential | NP-C |
| Practice Address |
1910 Towne Centre Blvd Ste 210 Annapolis MD 21401-3675 |
| Mailing Address |
2001 Butterfield Rd Ste 300 Downers Grove IL 60515-1069 |
| Practice Telephone | 4105718525 |
| Mailing Telephone | 6307252730 |
| Mailing Fax Number | 8442055691 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2026635 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R195242 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497021638 | Crystal Lee Patterson | Occupational Therapy Assistant | 411 E John St, Bedford, PA 15522-1430 | 2012-03-31 |
| 1932587367 | Crystal Patterson | Counselor | 384 Washington St, Norwell, MA 02061-2010 | 2015-05-18 |
| 1962692335 | Crystal Marie Patterson | Dental Hygienist | 120 S Denton Tap Rd, Coppell, TX 75019-3297 | 2007-07-31 |
| Street Address |
1910 TOWNE CENTRE BLVD STE 210 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807841 | Lauren Audrey Skinner | Nurse Practitioner | 616 Admiral Dr Apt 377, Annapolis, MD 21401-7526 | 2020-07-06 |
| 1174186589 | Danielle Bagdon | Nurse Practitioner | 726 Darlow Dr, Annapolis, MD 21409-7501 | 2019-04-22 |
| 1881193829 | Lauren Usilton | Nurse Practitioner | 2000 Medical Pkwy Ste 607, Annapolis, MD 21401-3748 | 2018-02-05 |
| 1467968503 | Brooke Anne Calhoun | Nurse Practitioner | 2000 Medical Pkwy Ste 310, Annapolis, MD 21401-3754 | 2017-12-27 |
| 1790206266 | Krista Jean Roberts | Nurse Practitioner | 1616 Forest Dr Ste 1, Annapolis, MD 21403-1019 | 2017-07-05 |
| 1588113435 | Ashley Arleen Starnes | Nurse Practitioner | 202 N Allen St, Annapolis, MO 63620-8778 | 2016-10-03 |
| 1689856353 | Lorri Tereese King | Nurse Practitioner | 1911 Towne Centre Blvd, Annapolis, MD 21401-3020 | 2007-12-04 |
| 1093901274 | Deborah M. Reid | Nurse Practitioner | 105 Annapolis St Ste B, Annapolis, MD 21401-1360 | 2007-09-20 |
| 1518925023 | Anne P Stelmash | Nurse Practitioner | 2000 Medical Pkwy Ste 510, Annapolis, MD 21401-3747 | 2006-05-03 |
| 1073572970 | Lauren Brien Bond | Nurse Practitioner | 509 S Cherry Grove Ave Ste C, Annapolis, MD 21401-4235 | 2006-03-20 |
| Find all providers in ANNAPOLIS | ||||
Please comment or provide details below to improve the information on CRYSTAL MOSS PATTERSON.
| 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.