CRYSTAL COLETTE WEBB (NPI# 1376197210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376197210 |
Entity Type | Individual |
Full Name | CRYSTAL COLETTE WEBB |
Credential | M.A. QMHP |
Practice Address |
5240 Ne Elam Young Pkwy Hillsboro OR 97124-6437 |
Mailing Address |
4200 Sw 107th Ave Apt 1003 Beaverton OR 97005-3143 |
Practice Telephone | 5038464555 |
Mailing Telephone | 7173396363 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2020-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689147464 | Crystal L Webb | Behavioral Analyst | 8618 W Catalpa Ave Ste 1106, Chicago, IL 60656-1108 | 2019-01-04 |
1154465466 | Crystal A. Webb | Nurse Practitioner | 1000 E Primrose St Ste 170, Springfield, MO 65807-5192 | 2007-02-19 |
1861935918 | Crystal Webb | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-11-22 |
1649605718 | Crystal D Webb | Physician Assistant | 30 N 1900 E, Room 3b306, Salt Lake City, UT 84132-0002 | 2013-09-09 |
1518202316 | Crystal Miller Webb | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2012-12-05 |
Street Address |
5240 NE ELAM YOUNG PKWY |
City | HILLSBORO |
State | OR |
Zip Code | 97124-6437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992983290 | Laura Lynn Finley | Counselor | 5240 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2008-02-08 |
1497232813 | Meleah Joy Nordquist | Case Manager/Care Coordinator | 5240 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2018-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
Find all providers in zip 97124 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
1245853373 | Kadin Gabriel Wiley | Student in an Organized Health Care Education/Training Program | 4296 Se Oak St, Hillsboro, OR 97123-5905 | 2020-05-22 |
1336762467 | Casey Omori | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave Ste 536, Hillsboro, OR 97123-4218 | 2020-05-22 |
1578185005 | Shaina Hai Chan | Student in an Organized Health Care Education/Training Program | 2669 Ne Overlook Dr Apt 1333, Hillsboro, OR 97124-7662 | 2020-05-06 |
1386271443 | James Dowgin | Student in an Organized Health Care Education/Training Program | 1975 Ne 50th Way, Hillsboro, OR 97124-6003 | 2020-03-26 |
1356995286 | Aiyana Turpen-scott | Student in an Organized Health Care Education/Training Program | 222 Se 8th Ave Ste 551, Hillsboro, OR 97123-4218 | 2019-07-29 |
1568938371 | Brian Miller | Student in an Organized Health Care Education/Training Program | 840 Water Ave, Hillsboro, WI 54634-6213 | 2018-10-18 |
1366948168 | Tiffany Anne Tibbs | Student in an Organized Health Care Education/Training Program | 4220 Mills Ln, Hillsboro, OH 45133-8774 | 2018-04-02 |
1811427057 | Connor Michael Hambelton | Student in an Organized Health Care Education/Training Program | 5373 E Main St, Hillsboro, OR 97123-6447 | 2017-06-19 |
Find all providers in HILLSBORO |
Please comment or provide details below to improve the information on CRYSTAL COLETTE WEBB.
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.