DR. CRYSTAL VERNON (NPI# 1336163948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336163948 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL VERNON |
| Other Name | CRYSTAL NOLEN |
| Credential | MD |
| Practice Address |
490 Dunlop Ln Clarksville TN 37040-5007 |
| Mailing Address |
Po Box 3799 Clarksville TN 37043-3799 |
| Practice Telephone | 9312457000 |
| Practice Fax Number | 9312457069 |
| Mailing Telephone | 9312457092 |
| Mailing Fax Number | 9312457068 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 41346 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q010124 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1679046718 | Crystal Vernon | Case Manager/Care Coordinator | 1921 N Railroad Ave, Arcadia, LA 71001-3423 | 2019-01-10 |
| Street Address |
490 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718264 | Stacey L Binkley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2005-05-23 |
| 1063010106 | Jamie Renae Tolley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2020-10-12 |
| 1760944847 | Wendi-jo Lewis | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2019-04-05 |
| 1013489467 | Brittney Wilkinson Lesser | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2018-12-26 |
| 1215468541 | Adebukola Ajagunna | Pediatrics | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-27 |
| 1568993335 | Sayanna Garcia | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-23 |
| 1033655964 | Valerie Knight | Registered Nurse | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-01-17 |
| 1942757042 | Jennifer Marie Cooke | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-09-06 |
| 1053775262 | Kwame Frimpong | Family Medicine | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-04-13 |
| 1518327337 | Denise Oram | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2016-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779509 | Blossoming Minds Pediatrics | Pediatrics | 11723 Trotter Crossing Ln, Clarksville, MD 21029-1445 | 2020-08-05 |
| 1871923805 | David Heppel | Pediatrics | 7318 Meadow Wood Way, Clarksville, MD 21029-1711 | 2013-11-12 |
| 1699911594 | Rainbow Kids Clinic | Pediatrics | 111 Otis Smith Dr., Clarksville, TN 37043 | 2008-12-23 |
| 1063563252 | Elaine Trogdon | Pediatrics | 5912 Tall Branches Pass, Clarksville, MD 21029-1691 | 2007-01-15 |
| 1265524151 | Sally Jane Wheeler | Pediatrics | 2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | 2006-09-28 |
| 1902916620 | Elsa M Haddad | Pediatrics | 2606 Wildwood Dr, Clarksville, IN 47129-1642 | 2006-08-30 |
| 1629008719 | Jami Reyes | Pediatrics | 6016 Red Clover Ln, Clarksville, MD 21029-1271 | 2006-07-04 |
| 1700841210 | Jill S Howell-berg | Pediatrics | 2052 Clevidence Blvd, Ste 1, Clarksville, IN 47129-2278 | 2006-04-18 |
| 1568437036 | Margaret Ellen Sears-dementhon | Pediatrics | 6578 Guilford Rd, Clarksville, MD 21029-1520 | 2006-02-20 |
| 1700867538 | Laurie A Harris-ford | Pediatrics | 2199 Memorial Dr, Clarksville, TN 37043 | 2005-11-09 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.