CRYSTAL CHICK (NPI# 1285285395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285285395 |
| Entity Type | Individual |
| Full Name | CRYSTAL CHICK |
| Credential | AGPC-NP-BC |
| Practice Address |
2478 Patterson Rd Ste 17 Grand Junction CO 81505-3606 |
| Practice Telephone | 9709854506 |
| Practice Fax Number | 9076289965 |
| Mailing Telephone | 9709854506 |
| Mailing Fax Number | 9076289965 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0995019-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000178403 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 Oakridge Dr Unit B, Fort Collins, CO 805255536 | 9702231199 |
| Street Address |
2478 PATTERSON RD STE 17 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184113003 | Compass Medical Center Pllc | Physical Medicine & Rehabilitation | 2478 Patterson Rd Ste 17, Grand Junction, CO 81505-3606 | 2018-05-07 |
| 1760948756 | Compass Medical Colorado Dme Pllc | Durable Medical Equipment & Medical Supplies | 2478 Patterson Rd Ste 17, Grand Junction, CO 81505-3606 | 2019-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| 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 |
|---|---|---|---|---|
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1699940767 | Karma Jeanne Bruner | Nurse Practitioner | 360 28 Road, Grand Junction, CO 81501 | 2008-04-29 |
| 1316120793 | Patricia Clark Kimerling | Nurse Practitioner | 425 Patterson Rd Ste 403, Grand Junction, CO 81506-1910 | 2007-12-09 |
| 1033195920 | Annette Lynn Johnson | Nurse Practitioner | 1060 Orchard Ave, Suite N, Grand Junction, CO 81501-2997 | 2005-12-21 |
| 1689220741 | Heather Renee Winfield | Nurse Practitioner | 604 25 Rd, Grand Junction, CO 81505-1202 | 2019-08-14 |
| 1588126957 | Nicole Stanley | Nurse Practitioner | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2019-04-03 |
| 1053884411 | Mh Health Care Services, PC | Nurse Practitioner | 2525 N 8th St, Grand Junction, CO 81501-8845 | 2019-01-09 |
| 1851874853 | Eleanor Diamse | Nurse Practitioner | 750 Wellington Ave Ste 3c, Grand Junction, CO 81501-6132 | 2018-09-14 |
| 1942798947 | Tanja Rebekka Kinney | Nurse Practitioner | 569 32 Rd Ste 12, Grand Junction, CO 81504-6095 | 2018-04-25 |
| 1336656941 | Katherine Rebecca Eckroth | Nurse Practitioner | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2018-01-04 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
Please comment or provide details below to improve the information on CRYSTAL CHICK.
| 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.