CRYSTAL ELLIOTT (NPI# 1760504971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7702811 | 05 | |
NC | 7795312 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
701 E ROOSEVELT BLVD BUILDING 200 SUITE B |
City | MONROE |
State | NC |
Zip Code | 28112-5170 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28112 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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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 |
Find all providers in MONROE |
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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.