MS. CRYSTAL E. SCOTT (NPI# 1831431931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831431931 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL E. SCOTT |
| Credential | APRN |
| Practice Address |
1614 Main Street Ste C Agape Senior Primary Care, Inc. Columbia SC 29201-2860 |
| Mailing Address |
1624 Main Street Agape Senior Primary Care, Inc. Columbia SC 29201-2818 |
| Practice Telephone | 8034516133 |
| Practice Fax Number | 8037262210 |
| Mailing Telephone | (803) 726-2350 |
| Mailing Fax Number | 8037539102 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2017-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
18174 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
18174 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336525161 | Crystal Scott | Physical Therapy Assistant | 200 Shannon Dr, Whiting, IA 51063-1021 | 2015-08-04 |
| 1619122496 | Crystal D Scott | Licensed Practical Nurse | 899 County Route 48, Richland, NY 13144-4456 | 2008-11-20 |
| 1194928309 | Crystal Scott | Speech-Language Pathologist | 1601 Hogan Ln, Apt. 1203, Conway, AR 72034-7855 | 2007-06-06 |
| 1144349978 | Crystal Maria Scott | Marriage & Family Therapist | 10517 N. Macarthur Blvd, #1036, Irving, TX 75063 | 2007-03-29 |
| 1457478885 | Crystal Dawn Scott | Speech-Language Pathologist | 14903 Windsor Ln, Noblesville, IN 46060-4711 | 2007-03-22 |
| 1174169486 | Crystal N Scott | Dietitian, Registered | 7725 N 43rd Ave Ste 111, Phoenix, AZ 85051-5775 | 2019-11-21 |
| 1760033286 | Crystal Scott | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2019-09-25 |
| 1689143398 | Crystal Y Scott | Nurse Practitioner | 2930 N Stanton St, El Paso, TX 79902-2511 | 2018-11-26 |
| 1346738382 | Crystal Michele Scott | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-04-25 |
| 1831559541 | Crystal Parrish Scott | Occupational Therapy Assistant | 1336 50th St, Brooklyn, NY 11219-1091 | 2016-02-24 |
| Street Address |
1614 MAIN STREET STE C AGAPE SENIOR PRIMARY CARE, INC. |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1720402753 | Jennifer M Newton | Nurse Practitioner | 795 Old Clemson Rd, Columbia, SC 29229-4203 | 2014-02-11 |
| 1437418258 | Bear Creek Medical Clinic | Nurse Practitioner | 156 Bear Creek Pike, 7 A, Columbia, TN 38401-2288 | 2012-05-14 |
| 1144828468 | Ivy Health Solutions LLC | Nurse Practitioner | 4100 N Main St Ste 201, Columbia, SC 29203-5800 | 2020-10-09 |
| 1932712627 | Porsha Canzater Moore | Nurse Practitioner | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-08-24 |
| 1053952457 | Evelynn Marie Pennington | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2019-10-07 |
| 1114452901 | Deidra Willis | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-04-29 |
| 1477901452 | Kathy Lynn Onwezen | Nurse Practitioner | 1605 E Broadway Ste 300, Columbia, MO 65201-8023 | 2016-05-31 |
| Find all providers in COLUMBIA | ||||
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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.