MISS CRYSTAL EDWARDS (NPI# 1275154338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275154338 |
Entity Type | Individual |
Full Name | MISS CRYSTAL EDWARDS |
Other Name | CRYS EDWARDS |
Practice Address |
2718 Medgar Evers Blvd Jackson MS 39213-7257 |
Mailing Address |
2018 Red Oak Dr Brandon MS 39042-9327 |
Practice Telephone | 6018429662 |
Mailing Telephone | 6018429662 |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2646 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205335064 | Crystal Edwards | Counselor | 903 W Lincoln Ave, Charleston, IL 61920-2413 | 2018-02-07 |
1528449212 | Crystal Lavonne Edwards | Community/Behavioral Health | 11010 W Madison St, Avondale, AZ 85323-3340 | 2015-06-18 |
1336304278 | Crystal Hayse Edwards | Massage Therapist | 1469 33rd Cir Se, Rio Rancho, NM 87124-1915 | 2008-07-21 |
1992795041 | Crystal Edwards | Physician Assistant | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-10-28 |
1336799907 | Crystal Edwards | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-09-16 |
1356907422 | Crystal Sue Edwards | Social Worker | 133 E Swanson Ave, Wasilla, AK 99654 | 2019-05-14 |
1639633134 | Crystal J Edwards | Speech-Language Pathologist | 965 Fisher Rd, Many, LA 71449-3819 | 2019-01-29 |
1346763018 | Crystal Kay Edwards | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2017-07-25 |
1225400260 | Crystal Edwards | Occupational Therapist | 38 W 32nd St Ste 604, New York, NY 10001-3884 | 2015-10-29 |
1760742969 | Crystal L Edwards | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2012-05-22 |
Street Address |
2718 MEDGAR EVERS BLVD |
City | JACKSON |
State | MS |
Zip Code | 39213-7257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
Find all providers in zip 39213 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568093367 | Choice Chiropractic Pllc | Massage Therapist | 3343 Spring Arbor Rd Ste 300, Jackson, MI 49203-8623 | 2020-01-30 |
1821631474 | Sherry J Miller | Massage Therapist | 18 Brentshire Sq Ste A, Jackson, TN 38305-2203 | 2019-10-25 |
1881236479 | Donna Summers | Massage Therapist | 761 Woodlake Dr, Jackson, MS 39206-2219 | 2019-10-15 |
1689221574 | Tanya Karr | Massage Therapist | 847 N Highway 49-88 Ste 4, Jackson, CA 95642-2013 | 2019-08-24 |
1285295881 | Melissa Tittler | Massage Therapist | 119 Kenneth St, Jackson, MI 49203-1083 | 2019-06-25 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1619407046 | Edwind Allen Holsey | Massage Therapist | 908 Union St, Jackson, MI 49203-2897 | 2017-06-18 |
1558812214 | Derry Petty | Massage Therapist | 337 Oak Grove Ave Apt I, Jackson, MI 49203-1394 | 2016-10-18 |
1194171728 | Angelina Bey | Massage Therapist | 1296 N Highland Ave, Ste 6, Jackson, TN 38301-4085 | 2016-05-12 |
1235593864 | Martine Stevenson | Massage Therapist | 2905 Heritage Place Blvd, Apt# 4, Jackson, MI 49203-2276 | 2016-04-10 |
Find all providers in JACKSON |
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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.