CRYSTAL MARIE THORNTON (NPI# 1154667913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154667913 |
| Entity Type | Individual |
| Full Name | CRYSTAL MARIE THORNTON |
| Credential | NP |
| Practice Address |
11432 Business Blvd Ste 4 Eagle River AK 99577-7720 |
| Practice Telephone | 9076941300 |
| Practice Fax Number | 9076941315 |
| Mailing Telephone | 9076941300 |
| Mailing Fax Number | 9076941315 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 34375 | AK | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 373 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730734658 | Crystal R Thornton | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2019-08-07 |
| 1972825974 | Crystal D. Thornton | Nurse Practitioner | 3333 Burnet Ave., Ml 2018, Cincinnati, OH 45229-3039 | 2010-02-18 |
| 1932339215 | Crystal Ritchie Thornton | Nurse Practitioner | 958 Vandora Springs Rd, Garner, NC 27529-3544 | 2009-07-21 |
| 1639349574 | Crystal Thornton | Counselor | 900 7th St, Clarkston, WA 99403-2005 | 2008-03-06 |
| Street Address |
11432 BUSINESS BLVD STE 4 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346205226 | Janet E Hulbert | Nurse Practitioner | 11432 Business Blvd, Eagle River, AK 99577 | 2006-04-20 |
| 1346617461 | Thomas Williams | Physical Therapist | 11432 Business Blvd, Suite 18, Eagle River, AK 99577-7740 | 2015-08-24 |
| 1871912915 | Suzanne Rose Kangas | Physician Assistant | 11432 Business Blvd, Ste 4, Eagle River, AK 99577-7720 | 2014-04-15 |
| 1033277041 | Heart of Eagle River Medical Clinic | Family Medicine | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7720 | 2006-12-04 |
| 1821168444 | Lila Mae Mc Ewen | Nurse Practitioner | 11432 Business Blvd, Eagle River, AK 99577-7720 | 2006-11-09 |
| 1649340126 | Thomas Ligus | Internal Medicine | 11432 Business Blvd, Eagle River, AK 99577-7720 | 2006-11-09 |
| 1023027380 | Fredrick George May | Physician Assistant | 11432 Business Blvd, Eagle River, AK 99577-7720 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386602019 | Jessica J Spayd | Nurse Practitioner | 16425 Brooks Loop, Eagle River, AK 99577-8027 | 2006-05-03 |
| 1346205226 | Janet E Hulbert | Nurse Practitioner | 11432 Business Blvd, Eagle River, AK 99577 | 2006-04-20 |
| 1679571640 | Health Works Family Med Clinic Inc. | Nurse Practitioner | 12812 Old Glenn Hwy, Eagle River, AK 99577-7003 | 2005-07-13 |
| 1659997880 | Andrea Lynde Stearns | Nurse Practitioner | 1444 S Creek Rd, Eagle River, AK 99577-9461 | 2020-06-23 |
| 1003255480 | Eagle River Pain & Wellness, LLC | Nurse Practitioner | 16425 Brooks Loop, Eagle River, AK 99577-8027 | 2013-06-19 |
| 1174703268 | Mary Ann Egbert | Nurse Practitioner | 12812 Old Glenn Hwy, Eagle River, AK 99577-7558 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040711 | Wanatsanan Somkanay | Nurse Practitioner | 2211 E Northern Lights Blvd Ste 101, Anchorage, AK 99508-4192 | 2019-06-04 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1700395951 | Nicole Zonzel | Nurse Practitioner | 3831 Piper St Sll 020, Anchorage, AK 99508 | 2017-09-20 |
| 1164944229 | Rona Janel Johnson | Nurse Practitioner | 3900 Ambassador Dr Fl 4, Anchorage, AK 99508-5922 | 2017-07-11 |
| 1881128643 | Tamara Simpson | Nurse Practitioner | 1751 E Gardner Way Ste D, Wasilla, AK 99654-6564 | 2017-04-18 |
| 1710352281 | Arctic Physical Medicine Barrow | Nurse Practitioner | 1655 Okpik St, Barrow, AK 99723 | 2015-12-09 |
| 1619347614 | Erin Rockey | Nurse Practitioner | 530 S Talkeetna St, Wasilla, AK 99654-8111 | 2015-10-02 |
| 1598135089 | Alyse Poll | Nurse Practitioner | 1700 E Bogard Rd # 2, Wasilla, AK 99654-6563 | 2015-09-28 |
| 1053793919 | Sarah Elizabeth Dunn | Nurse Practitioner | 1701 Salmon Creek Ln, Juneau, AK 99801-7868 | 2015-06-26 |
| 1679993026 | Mt.sanford Tribal Consortium | Nurse Practitioner | Milepost 33 Tok Cutoff, Chistochina, AK 99586-0000 | 2014-04-24 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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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.