CRYSTAL D. CHITWOOD (NPI# 1063884559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063884559 |
| Entity Type | Individual |
| Full Name | CRYSTAL D. CHITWOOD |
| Credential | RMA |
| Practice Address |
1815 W 6th Ave Stillwater OK 74074-4202 |
| Practice Telephone | 4057437300 |
| Practice Fax Number | 4057437346 |
| Mailing Telephone | 4057437300 |
| Mailing Fax Number | 4057437346 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | AMERICAN MEDICAL TECHNOLOGIST/REGISTERED MEDICAL ASSISTANT | 2707089 | 01 |
| Street Address |
1815 W 6TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889373 | Gilbert Edward Emde | Internal Medicine | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2005-08-30 |
| 1730718362 | Stillwater Medical Center Authority | Clinic/Center | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2020-04-06 |
| 1881164945 | Dusti Rae Johnson | Nurse Practitioner | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2018-12-03 |
| 1235625807 | Joshua Norman | Nurse Practitioner | 1815 W 6th Ave, Stillwater, OK 74074 | 2018-07-07 |
| 1508306655 | William Andrew Anthony | Family Medicine | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2017-03-07 |
| 1366825507 | Osu Center for Health Sciences | Clinic/Center | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2015-07-07 |
| 1124447792 | Melissa Shanay Herring | Family Medicine | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2014-04-10 |
| 1710303656 | Glynda Fox | Nurse Practitioner | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2014-03-17 |
| 1013206226 | Connie R Lowry | Nurse Practitioner | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2011-03-29 |
| 1265661995 | Angela Dawn Cushing | Physician Assistant | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555188 | Hope Counseling LLC | Counselor | 1903 Greeley St S Ste 201, Stillwater, MN 55082-6279 | 2020-07-17 |
| 1255856928 | Julie Ann Moylan | Counselor | 116 Chestnut St E # 150, Stillwater, MN 55082-5116 | 2017-08-03 |
| 1467805630 | Katrina Koren | Counselor | 2a Gurba Dr, Stillwater, NY 12170-1213 | 2016-07-22 |
| 1225475643 | David Fried | Counselor | 2602 Shinnery Ct, Stillwater, OK 74074-7407 | 2013-05-24 |
| 1427329184 | Sandrel Jones-webster | Counselor | 717 S Hester St, Stillwater, OK 74074-4520 | 2012-01-25 |
| 1972871481 | Tammy Lynn Richmond | Counselor | 1804 S Perkins Rd, Stillwater, OK 74074-7939 | 2011-12-12 |
| 1841568110 | Kelly L Cullen | Counselor | 3686 Abercrombie Ln, Stillwater, MN 55082-4194 | 2011-12-01 |
| 1104106749 | Tamara S. Defranc | Counselor | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2011-08-26 |
| 1114216959 | Kara Sue Niccum | Counselor | 320 Student Union, Stillwater, OK 74078 | 2011-04-01 |
| 1346567245 | Debra Lynn Haney-carr | Counselor | 715 Pecan Hill St, Stillwater, OK 74074-1183 | 2010-05-01 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
Please comment or provide details below to improve the information on CRYSTAL D. CHITWOOD.
| 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.