CRYSTAL LYNN MOORE (NPI# 1770735078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770735078 |
| Entity Type | Individual |
| Full Name | CRYSTAL LYNN MOORE |
| Credential | FNP |
| Practice Address |
1 University Rd Student Health Services Pembroke NC 28372-8699 |
| Practice Telephone | 9105216219 |
| Practice Fax Number | 9105216549 |
| Mailing Telephone | 9105216219 |
| Mailing Fax Number | 9105216549 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004143 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7005089 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| Street Address |
1 UNIVERSITY RD STUDENT HEALTH SERVICES |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-8699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841495413 | George Demaris Gressman IIi | Counselor | 1 University Rd, Uncp Counseling & Testing Center, Pembroke, NC 28372-8699 | 2007-06-15 |
| 1023646742 | Devan Tyler Penny | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-29 |
| 1629606348 | Lakindra Niara Mcknight | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-29 |
| 1770119117 | Joseph Perez | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-17 |
| 1114550290 | Carlos Miguel Rivera Jr. | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-02-18 |
| 1639673155 | University of North Carolina At Pembroke | Orthopaedic Surgery | 1 University Rd, Pembroke, NC 28372-8699 | 2018-03-20 |
| 1760982425 | Michael Musselwhite | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2018-02-19 |
| 1457851214 | Katherine Nicole Younker | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2018-02-19 |
| 1922507847 | Tara K Chisholm | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2018-02-06 |
| 1972012987 | Lauren Werner | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2017-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132433 | Jolene Carol Schmucker | Nurse Practitioner | 775 Pembroke Fairview Rd, Pembroke, KY 42266-9413 | 2020-10-20 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1295092716 | Pamela B. Olson | Nurse Practitioner | 133 Bostic Ln, Pembroke, VA 24136-3678 | 2012-04-22 |
| 1366731234 | Teresa U Cayton | Nurse Practitioner | 159 West Railroad Street, Pembroke, GA 31321-0190 | 2011-03-31 |
| 1184611139 | Ella Olehonna Lynch | Nurse Practitioner | 773 Old Main Rd, Pembroke, NC 28372-8753 | 2005-10-04 |
| 1578565164 | Jodella Locklear | Nurse Practitioner | 812 Candy Park Rd Ste 7101-a, Pembroke, NC 28372-9129 | 2005-08-12 |
| 1750384400 | Maxine Blue | Nurse Practitioner | 30 Three Hunts Dr Ste E, Pembroke, NC 28372-7317 | 2005-05-24 |
| 1821624412 | Linnea Francesca Carroll | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359-1981 | 2020-03-16 |
| 1689226920 | Brandy Nichole Long | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2019-07-16 |
| Find all providers in PEMBROKE | ||||
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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.