CRYSTAL LYNNE CWODZINSKI (NPI# 1396177093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396177093 |
| Entity Type | Individual |
| Full Name | CRYSTAL LYNNE CWODZINSKI |
| Credential | N.P. |
| Practice Address |
1 Siskin Plz Ste 101 Chattanooga TN 37403-1306 |
| Practice Telephone | 4238032226 |
| Practice Fax Number | 4238032222 |
| Mailing Telephone | 4238032226 |
| Mailing Fax Number | 4238032222 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17810 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 SISKIN PLZ STE 101 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697876 | Erwin M Manalo | Physical Medicine & Rehabilitation | 1 Siskin Plz, Ste 101, Chattanooga, TN 37403-1306 | 2005-08-25 |
| 1285240119 | Rochelle Leilani Jones | Clinical Neuropsychologist | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2020-09-16 |
| 1396197505 | Laura Nelson | Student in an Organized Health Care Education/Training Program | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2016-07-12 |
| 1235581992 | Sara Tinter | Speech-Language Pathologist | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2016-07-06 |
| 1952787194 | Rebecca Joyce Cicha | Clinical Neuropsychologist | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2015-08-10 |
| 1285032474 | Steve M Rodriguez | Physical Therapy Assistant | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2014-12-20 |
| 1760887624 | Susan Severs Council | Physical Medicine & Rehabilitation | 1 Siskin Plz, Ste 101, Chattanooga, TN 37403-1306 | 2014-11-04 |
| 1518215078 | Barbara C Laman | Nurse Practitioner | 1 Siskin Plz, Ste 101, Chattanooga, TN 37403-1306 | 2012-08-15 |
| 1740541333 | John Christopher Young | Clinical Neuropsychologist | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2012-05-31 |
| 1790052843 | Lori Brooks May | Speech-Language Pathologist | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| 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 |
|---|---|---|---|---|
| 1366054785 | Jamie Renee Slagle | Nurse Practitioner | 6061 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-18 |
| 1699390757 | Lacy E Cushman | Nurse Practitioner | 1622 Mary Dupre Dr, Chattanooga, TN 37421-2538 | 2020-06-14 |
| 1366077539 | Scenic City Neurotherapy and Ketamine Center PC | Nurse Practitioner | 7405 Shallowford Rd Ste 360, Chattanooga, TN 37421-2678 | 2020-03-09 |
| 1740839315 | Emmaline Camille Newman | Nurse Practitioner | 1703 W 54th St, Chattanooga, TN 37409-2011 | 2019-09-06 |
| 1215490230 | Tina Michell Carden | Nurse Practitioner | 2200 E 3rd St Ste 100, Chattanooga, TN 37404-2724 | 2019-04-08 |
| 1922568807 | Twelvestone Infusion Centers LLC | Nurse Practitioner | 6150 Shallowford Rd Ste 102, Chattanooga, TN 37421-7218 | 2019-03-25 |
| 1710453436 | Kelly Gayler | Nurse Practitioner | 1751 Gunbarrel Rd Ste 103, Chattanooga, TN 37421-7162 | 2018-10-20 |
| 1043737976 | Sarah K Olds | Nurse Practitioner | 725 Glenwood Dr Ste 780, Chattanooga, TN 37404-1177 | 2017-08-22 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.