CRYSTAL WILSON (NPI# 1730567520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730567520 |
| Entity Type | Individual |
| Full Name | CRYSTAL WILSON |
| Practice Address |
110 N Mill St Festus MO 63028-1816 |
| Mailing Address |
227 E Main St Festus MO 63028-1952 |
| Practice Telephone | 6369312700 |
| Practice Fax Number | 6369311961 |
| Mailing Telephone | 6369312700 |
| Mailing Fax Number | 6369315304 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825785 | Crystal Angela Wilson | Social Worker | 8974 162nd St Ste 3, Jamaica, NY 11432-5012 | 2019-11-13 |
| 1598237885 | Crystal Marie Wilson | Social Worker | 22c E Newnan Rd, Newnan, GA 30263-2230 | 2018-12-26 |
| 1245787449 | Crystal Wilson | Specialist | 1031 Wilmington Rd, Turkey, NC 28393-8405 | 2016-09-06 |
| 1407294184 | Crystal Mojne Wilson | Psychiatry & Neurology | Univeristy of Florida 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-04 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1184934549 | Crystal M Wilson | Licensed Practical Nurse | 270 Dolly Madison Ct, Macon, GA 31220-2605 | 2010-10-19 |
| 1922614551 | Crystal Wilson | Nurse Practitioner | 2120 S Green Rd, South Euclid, OH 44121-3349 | 2020-09-18 |
| 1285255943 | Crystal Dawn Wilson | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2020-05-04 |
| 1407414675 | Crystal Lavonne Wilson | Physical Therapy Assistant | 702 N Main St, Harrison, AR 72601-2900 | 2019-06-03 |
| 1730555186 | Crystal Wilson | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2015-08-19 |
| Street Address |
110 N MILL ST |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063433670 | Jhansirani Vasireddy | Psychiatry & Neurology | 110 N Mill St, Festus, MO 63028-1816 | 2006-07-21 |
| 1770199093 | Stephanie Lane | Counselor | 110 N Mill St, Festus, MO 63028-1816 | 2020-09-22 |
| 1659905479 | Lindsay L Eslinger | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2020-03-02 |
| 1376187112 | Makenzie Couch | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2019-11-05 |
| 1821630591 | Dawn Mccauley | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2019-10-14 |
| 1730659798 | Pamela Rose | Technician | 110 N Mill St, Festus, MO 63028-1816 | 2018-12-03 |
| 1528538584 | Mary Milfelt | Technician | 110 N Mill St, Festus, MO 63028-1816 | 2018-12-03 |
| 1720558703 | Bryttany Whipple | Technician | 110 N Mill St, Festus, MO 63028-1816 | 2018-12-03 |
| 1073081717 | Sarah Withouse | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2018-11-12 |
| 1215405956 | Jessica Reiter | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2018-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677964 | Elaine Baker | Case Manager/Care Coordinator | 120 N Mill St, Festus, MO 63028-1816 | 2020-04-06 |
| 1578180220 | Adrianne Smith | Case Manager/Care Coordinator | 120 N Mill St, Festus, MO 63028-1816 | 2020-06-29 |
| 1992321160 | Tosha Stiebel | Case Manager/Care Coordinator | 120 N Mill St, Festus, MO 63028-1816 | 2020-06-23 |
| 1659905479 | Lindsay L Eslinger | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2020-03-02 |
| 1255961439 | Crystal Brinkley | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2020-01-16 |
| 1053951731 | Princess White | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2020-01-10 |
| 1376187112 | Makenzie Couch | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2019-11-05 |
| 1821630591 | Dawn Mccauley | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2019-10-14 |
| 1073079471 | Alexis Martin- Browne | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2019-02-11 |
| 1013480607 | Kristy Armbruster | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2019-01-07 |
| Find all providers in FESTUS | ||||
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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.