CRYSTAL ELLIOTT


Address: 701 E Roosevelt Blvd, Building 200 Suite B, Monroe, NC 28112-5170
Phone: 7042912218

CRYSTAL ELLIOTT (NPI# 1760504971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760504971
Entity Type Individual
Full Name CRYSTAL ELLIOTT
Credential C.F.M.
Practice Address 701 E Roosevelt Blvd
Building 200 Suite B
Monroe
NC 28112-5170
Mailing Address 993 Braxton Dr
Concord
NC 28025-6824
Practice Telephone 7042912218
Practice Fax Number 7042912241
Mailing Telephone 7047887764
Enumeration Date 2007-04-06
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7702811 05
NC 7795312 05

Other Providers CRYSTAL ELLIOTT

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1871104117 Crystal Elliott Technician 6128 W Sahara Ave, Las Vegas, NV 89146-3051 2020-08-11
1477889186 Crystal Renee Elliott Licensed Practical Nurse 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 2009-10-30

Office Location

Street Address 701 E ROOSEVELT BLVD
BUILDING 200 SUITE B
City MONROE
State NC
Zip Code 28112-5170

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952385809 Sandra M King Orthopaedic Surgery 701 E Roosevelt Blvd, Bldg 600, Monroe, NC 28112-5170 2005-12-05
1932589512 Chelsea Nicole Foster Physical Therapist 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 2015-06-09
1487959110 Atlas Medical Group, Pa Family Medicine 701 E Roosevelt Blvd, Suite 320, Monroe, NC 28112-5170 2011-01-11
1295043966 Janet Kimberly Selz Nurse Practitioner 701 E Roosevelt Blvd, Monroe, NC 28112-5170 2010-09-16
1700053170 Anne Mcclellan Hudson Physical Therapist 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 2008-05-14
1407022064 Racine E Johnson Physical Therapist 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 2008-05-05
1669651667 Rasheed A Onafuye Psychiatry & Neurology 701 E Roosevelt Blvd, Suite 320, Monroe, NC 28112-5170 2007-10-26
1588859953 St Mary's Medical Clinic,pc. Clinic/Center 701 E Roosevelt Blvd, Bldg 800a, Monroe, NC 28112 2007-09-10
1932293792 Julianna B Brookshire Physical Therapist 701 E Roosevelt Blvd, Suite 200a, Monroe, NC 28112-5170 2006-10-03
1932189545 Carolina Bone & Joint Pa Internal Medicine 701 E Roosevelt Blvd, Bulding 600, Monroe, NC 28112-5170 2006-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000620 Paladina Health, LLC Family Medicine Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 2019-02-22
1073078408 Sharelle Monique Hatley Social Worker 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 2019-02-11
1740762509 Fox Counseling and Consulting, Pllc Social Worker 311 W Jefferson Street, Monroe, NC 28112 2018-08-29
1760976062 Kinena J Dent-smith Community/Behavioral Health 207 Raymond St, Monroe, NC 28112 2018-06-20
1093225468 Healthstat Onsite Clinic Parkdale Plant 21 Preventive Medicine 5005 Waxhaw Highway 75, Monroe, NC 28112 2017-10-11
1871026567 H.o.p.e. Advancement, Inc. Counselor 349 Venus Street, Monroe, NC 28112 2017-04-10
1508304650 Monroe Dental Clinic General Partnership Dentist 102 E Windsor Street, Monroe, NC 28112 2017-02-09
1073062865 Garahetta Robin Sell Massage Therapist 600 West End Drive, Monroe, NC 28112 2016-09-22
1700280765 Katherine Hartness Massage Therapist 205 N. Hayne St., Monroe, NC 28112 2014-10-20
1346655586 Gaurav Chand Internal Medicine 1663 Campus Park Dr., Suite D, Monroe, NC 28112 2014-06-26
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902430846 Pessy Rolnitzky Specialist 453 County Route 105, Monroe, NY 10950-3136 2020-03-01
1265947238 Brenda Ayllene Sabatello Specialist 126 Barr Lne, Monroe, NY 10950 2017-12-12
1902329055 Martha Klein Specialist 412 High St, Monroe, NY 10950-1511 2017-07-20
1972053023 Rochelle Matlofsky Specialist 71 Lincoln Rd, Monroe, NY 10950-5005 2016-10-12
1497200943 Carteret Comprehensive Medical Care, P.C. Specialist 320 Spotswood Englishtown Rd, Monroe, NJ 08831-8651 2016-08-24
1457723728 Craig Hertz Specialist 15881 Lords Lake Ave Se, Monroe, WA 98272-2860 2015-10-27
1295128346 Anna Adler Specialist 5 Briarwood Ave, Monroe, NY 10950-3105 2015-03-13
1417347337 Laurie C. Laufer Specialist 72 Lake Region Blvd, Monroe, NY 10950-1142 2015-01-30
1134526031 A Plus Center Specialist 8 Lemberg Ct, 003, Monroe, NY 10950-5713 2014-11-21
1477961100 Letissha M Drake Specialist 1969 Old Charlotte Hwy Ste E, Monroe, NC 28110-9151 2014-07-25
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Competitor

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City MONROE
Zip Code 28112

Improve Information

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Dataset Information

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.

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