CRYSTAL DENISE THOMPSON (NPI# 1144764028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144764028 |
| Entity Type | Individual |
| Full Name | CRYSTAL DENISE THOMPSON |
| Credential | RN |
| Practice Address |
73 Orient Ave Brentwood NY 11717-1616 |
| Practice Telephone | 6314552654 |
| Mailing Telephone | 6314552654 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 717469-1 | NY | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920938 | Crystal Thompson | Registered Nurse | 1872 N Roman St, New Orleans, LA 70116-1143 | 2018-04-27 |
| 1720506579 | Crystal Thompson | Counselor | 3033 Ohio Dr Apt 3025, Frisco, TX 75035-6485 | 2017-08-31 |
| 1255634390 | Crystal R Thompson | Licensed Practical Nurse | 286 Green Rd, Mexico, NY 13114-4215 | 2010-12-12 |
| 1245471168 | Crystal Sharee Thompson | Counselor | 31 W Adams St Apt 608, Jacksonville, FL 32202-3631 | 2009-03-23 |
| 1942850987 | Crystal Thompson | Chiropractor | 4800 Nw 7th Ave, Miami, FL 33127-2304 | 2019-09-11 |
| 1962061192 | Crystal Lynn Thompson | Counselor | 456 N Pitt St, Mercer, PA 16137-1129 | 2019-06-11 |
| 1649790270 | Crystal Thompson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2017-06-24 |
| 1346792082 | Crystal Thompson | Counselor | 164 Waccamaw Medical Park Drive, Conway, SC 29526 | 2016-10-28 |
| 1417323817 | Crystal Thompson | Dentist | 940 Ellendale Dr, Medford, OR 97504-8216 | 2015-08-19 |
| 1578982294 | Crystal Nicole Thompson | Emergency Medicine | 100 Nicolls Rd Rm 80, Stony Brook, NY 11794-8350 | 2014-04-09 |
| Street Address |
73 ORIENT AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528200441 | Aeb, LLC Dba Visiting Angels of Nashville | Residential Treatment Facility, Physical Disabilities | 750 Old Hickory Blvd Bldg 2, Suite 150, Brentwood, TN 37027-4528 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| 1154855476 | Rita Home Aide Inc. | Residential Treatment Facility, Physical Disabilities | 82 Rhodes Dr, New Hyde Park, NY 11040-3528 | 2017-04-13 |
| 1104293406 | Deborah A Wilson | Residential Treatment Facility, Physical Disabilities | 6 Doud Cir, Hilton, NY 14468-1480 | 2015-08-22 |
| 1598142275 | Drb Services | Residential Treatment Facility, Physical Disabilities | 1537 East 57 Street, 1537 East 57 Street, Brooklyn, NY 11234 | 2015-05-01 |
| 1922491018 | Castarpo Inc | Residential Treatment Facility, Physical Disabilities | 11577 230th St, Cambria Heights, Cambria Heights, NY 11411-1421 | 2015-03-12 |
| 1245635739 | Craig Allen Meade | Residential Treatment Facility, Physical Disabilities | 10 Gordon Pkwy, Syracuse, NY 13219-1060 | 2014-10-27 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| 1932520129 | Carla Lynn Sangiorgio | Residential Treatment Facility, Physical Disabilities | 1080 Rensselaer Ave, Staten Island, NY 10309-2114 | 2013-12-15 |
| 1649607359 | Holcare LLC | Residential Treatment Facility, Physical Disabilities | 1905 22nd Rd, Apt 36, Astoria, NY 11105-3655 | 2013-09-26 |
| 1891121984 | Gao Acupuncture P.C. | Residential Treatment Facility, Physical Disabilities | 9316 Liberty Ave, Ozone Park, NY 11417-1528 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
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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.