CRYSTAL E MEZIERE


Address: 7 Shackleford West Blvd, Little Rock, AR 72211-3886
Phone: 5016645860

CRYSTAL E MEZIERE (NPI# 1922565233) 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) 1922565233
Entity Type Individual
Full Name CRYSTAL E MEZIERE
Credential APRN
Practice Address 7 Shackleford West Blvd
Little Rock
AR 72211-3886
Practice Telephone 5016645860
Practice Fax Number 5016640889
Mailing Telephone 5016645860
Mailing Fax Number 5016640889
Enumeration Date 2019-02-22
Last Update Date 2019-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner A006139 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7 SHACKLEFORD WEST BLVD
City LITTLE ROCK
State AR
Zip Code 72211-3886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861485302 Scott L Beau Internal Medicine 7 Shackleford West Blvd, Little Rock, AR 72211 2005-08-30
1801411285 Allyson D Carroll Dietitian, Registered 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2020-06-11
1104476720 Abigail Grace Connerly Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-09-16
1013560655 Angela Denise Cheves Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-07-23
1134685217 Felicia Mae Johnson Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2019-02-14
1588132948 Lauren Elizabeth Mcbride Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-11-05
1144705047 Cassandra Love Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-09-27
1457832842 Marissa Boggs Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-08-24
1568955441 Jared H Umland Physician Assistant 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-06-14
1457840340 Antisia L Thompson Nurse Practitioner 7 Shackleford West Blvd, Little Rock, AR 72211-3886 2018-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760004618 Samantha Lenore Hilborn Behavior Technician 1525 Merrill Drive Suite 100, Little Rock, AR 72211 2020-05-14
1003437740 Centers for Youth and Families, Inc. Community/Behavioral Health 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 2020-05-05
1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
1457873127 Restore Hope Counseling Center, Pllc Counselor One Innwood Circle, Suite 201, Little Rock, AR 72211 2017-07-13
1447707500 University of Arkansas for Medical Sciences Durable Medical Equipment & Medical Supplies 601 Autumn Road, Little Rock, AR 72211 2016-09-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073137212 Lakeisha Shatara Falls Nurse Practitioner 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 2020-06-03
1619452448 Sarah Elizabeth Baker Nurse Practitioner 12120 Colonel Glenn Rd Ste 10000, Little Rock, AR 72210-2849 2018-09-27
1740772995 Heather Gall Nurse Practitioner 15760 Carla Ln, Little Rock, AR 72206-6163 2018-06-04
1811404551 Shelbi Lynn Sloan Nurse Practitioner 16115 Saint Vincent Way Ste 300, Little Rock, AR 72223-3000 2018-01-03
1881107076 Arnetta Yvonne Williams Nurse Practitioner 4301 W Markham St # 623, Little Rock, AR 72205-7101 2017-11-09
1750796462 Altegra Health Connections, LLC Nurse Practitioner 124 West Capitol Avenue, Suite 1900, Little Rock, AR 72201-3736 2014-06-23
1992126189 Sheila Humphrey Nurse Practitioner 1120 Mack Rd, Little Rock, AR 72206-5790 2013-12-14
1730437575 Sherian K Kwanisai Nurse Practitioner 4815 W. Markham Slot 21, Little Rock, AR 72205-3867 2012-08-28
1528349230 Suzanne Louise Broadway Nurse Practitioner 9500 Lile Dr, Little Rock, AR 72205-6319 2011-09-08
1073893673 Lashond Hill Nurse Practitioner 10201 W Markham St Ste 203, Little Rock, AR 72205-2181 2011-08-26
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Competitor

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City LITTLE ROCK
Zip Code 72211

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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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