CRYSTAL EVA (NPI# 1700217239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700217239 |
| Entity Type | Individual |
| Full Name | CRYSTAL EVA |
| Practice Address |
2132 68th Ter S St Petersburg FL 33712 |
| Mailing Address |
2132 68th Ter S St Petersburg FL 33712-5821 |
| Practice Telephone | 7276488410 |
| Mailing Telephone | 7276488410 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
2132 68TH TER S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| 1942359070 | Acupuncture & Herbal Therapies | Massage Therapist | 2520 Central Ave., St. Petersburg, FL 33712 | 2007-01-09 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710452552 | Kayla Williams | Homemaker | 749 18th Ave S, St Petersburg, FL 33705-6510 | 2018-10-08 |
| 1174986624 | Cheryl Walker | Homemaker | 6108 Lynn Lake Dr S Apt D, St Petersburg, FL 33712-6271 | 2016-04-01 |
| 1811531999 | Aspects of Wellness LLC | Homemaker | 7901 4th St N Ste 300, St Petersburg, FL 33702-4305 | 2019-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558172 | Katrina Ann Fils-aime | Homemaker | 501 Goodlette-frank Rd N Ste D100, Naples, FL 34102-5666 | 2020-11-07 |
| 1538760368 | Tonique L Brown | Homemaker | 563 Little River Loop Apt 148, Altamonte Springs, FL 32714-1746 | 2020-11-06 |
| 1851992044 | Robin Kelly Tessman | Homemaker | 230 Cumquat Rd Ne, Lake Placid, FL 33852-5951 | 2020-11-04 |
| 1114526167 | Jennyre Reid | Homemaker | 2471 Nw 175th Ter, Miami Gardens, FL 33056-3611 | 2020-10-21 |
| 1750989315 | Yonile Derivois | Homemaker | 1849 Buchanan Bay Cir Apt 103, Orlando, FL 32839-1894 | 2020-10-15 |
| 1992303606 | Tori Vontrese Reddick | Homemaker | 4720 Magnolia Preserve Ave, Winter Haven, FL 33880-5027 | 2020-10-14 |
| 1346848124 | Seana Williams Shaw | Homemaker | 43 Petey Ct, Ocoee, FL 34761-4429 | 2020-10-13 |
| 1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
| 1689271249 | Chiqueata Lashay Evans | Homemaker | 304 E 10th Ave, Havana, FL 32333-1918 | 2020-10-07 |
| 1639776768 | Anyah Poole | Homemaker | 3657 Tyson Green Way, Tallahassee, FL 32310-4963 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on CRYSTAL EVA.
| 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.