CRYSTAL LEE (NPI# 1710584313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710584313 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEE |
| Practice Address |
5410 N 44th St Tacoma WA 98407-3799 |
| Practice Telephone | 2537599544 |
| Mailing Telephone | 2537599544 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043841364 | Crystal H Lee | Specialist/Technologist | 603 Brookwood Dr, Thomaston, GA 30286-4156 | 2020-01-27 |
| 1699212282 | Crystal Lee | Home Health | 1725 Dover Ct, Ypsilanti, MI 48198-3214 | 2017-01-20 |
| 1750737672 | Crystal Lee | Counselor | 751 E Bayou Pines Dr., Suite C, Lake Charles, LA 70601 | 2016-05-10 |
| 1093130445 | Crystal Lee | Lactation Consultant, Non-RN | 335 W Santa Cruz Dr, Tempe, AZ 85282-4844 | 2014-02-21 |
| 1194984534 | Crystal Lee | Physical Therapy Assistant | 860 Highway 62 E Ste 10, Mountain Home, AR 72653-3200 | 2008-06-02 |
| 1306042858 | Crystal Magan Lee | Licensed Vocational Nurse | 9004 Birchleaf Ave, Downey, CA 90240-2309 | 2007-06-22 |
| 1154408946 | Crystal Unhe Lee | Optometrist | 2273 Bel Pre Rd, Silver Spring, MD 20906-2204 | 2006-11-01 |
| 1801404744 | Crystal Lee | Nurse Practitioner | 287 Old Marlton Pike, Medford, NJ 08055-8761 | 2020-07-16 |
| 1528530342 | Crystal Ann Lee | Nurse Practitioner | 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3006 | 2018-12-18 |
| 1215402136 | Crystal Brooke Lee | Nurse Practitioner | 710 N Sun Dr, Lake Mary, FL 32746-2507 | 2018-10-06 |
| Street Address |
5410 N 44TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98407-3799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366459489 | Tanya Laplant | Nurse Practitioner | 5410 N 44th St, Tacoma, WA 98407-3715 | 2006-08-02 |
| 1972101806 | Brittany Nicole Groh | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-13 |
| 1134727092 | Francena Taylor | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-13 |
| 1265039515 | Autumn Lawson | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-08 |
| 1275146896 | Jamaica Myers | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-08-24 |
| 1003428061 | Lisa Perez | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-08-20 |
| 1487262051 | Raeshelle Brianne Cranshaw | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-07-20 |
| 1487272985 | Jessika Howard | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-07-10 |
| 1225656234 | Brianna Hope Peterson | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-07-07 |
| 1659997427 | Michaele Renee Trujillo | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134205 | Adrienne Ashley | Behavior Technician | 3704 Nth 35th Street, Tacoma, WA 98407 | 2019-10-07 |
| 1346890050 | Theresa Marie Hopper | Technician | 5335 N. Ruby St., Tacoma, WA 98407 | 2019-09-14 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1518445196 | Rachael L Southern | Registered Nurse | 3502 N Visscher St, Tacoma, WA 98407 | 2018-08-06 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| 1720533805 | Edward Adlen Herrera | Behavioral Analyst | 3704 Nth 35th St, Tacoma, WA 98407 | 2016-08-18 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1770950446 | Darriell Beaumonte | Counselor | 5410 N. 44th Street, Tacoma, WA 98407 | 2015-08-28 |
| 1750722682 | Lori Ha | Dentist | 5005 Main St Ste 107, Ruston, WA 98407 | 2013-07-08 |
| 1861745929 | Jennifer L Trahan | Counselor | 5410 N. 44th St., Tacoma, WA 98407 | 2012-10-25 |
| Find all providers in zip 98407 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1689225625 | Belinda Lyndon Montgomery | Peer Specialist | 1602 N Orchard St, Tacoma, WA 98406-3346 | 2019-09-20 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1134727092 | Francena Taylor | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-13 |
| 1275146896 | Jamaica Myers | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-08-24 |
| 1003434812 | Maryann Hartman | Peer Specialist | 1305 Tacoma Ave S Ste 201, Tacoma, WA 98402-1903 | 2020-07-08 |
| 1851917991 | Prossy Nageri Balome | Peer Specialist | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-06-24 |
| 1659997427 | Michaele Renee Trujillo | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-17 |
| 1083238307 | Juliana Desiree Darlene Amesquita | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-02 |
| 1518589985 | Doris Jean Tucker | Peer Specialist | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-05-08 |
| Find all providers in TACOMA | ||||
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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.