JESSICA LYNN CRUM (NPI# 1396381844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396381844 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN CRUM |
| Other Name | JESSICA LYNN FULLWOOD |
| Credential | RRT |
| Practice Address |
6439 Garners Ferry Rd Columbia SC 29209-1638 |
| Mailing Address |
290 Summer Oak Dr Pelion SC 29123-9415 |
| Practice Telephone | 6197510768 |
| Mailing Telephone | 6197510768 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | 6250 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654635 | Jessica Lyn Crum | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2018-09-26 |
| Street Address |
6439 GARNERS FERRY RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1255932901 | Juno Momoko Davenport | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-11-07 |
| 1144820275 | Heather Ruffin | Recreation Therapist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-10-28 |
| 1881201317 | Danelle Alexis Magalit | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1700493186 | Allison Marie Anderson | Audiologist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1346854783 | Sophia Armstrong | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-02 |
| 1609489756 | Jeani Rae Clark Quattlebaum | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-28 |
| 1851902340 | Brittany Franklin | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-10 |
| 1477162667 | Amee Shah | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-24 |
| 1780292482 | Mary Catherine Chase Hess | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851921076 | Stephanie Marie Woods | Respiratory Therapist, Registered | 1118 Wilkes Blvd, Columbia, MO 65201-4772 | 2020-01-16 |
| 1649708256 | Cory Hunsley | Respiratory Therapist, Registered | 1600 E Broadway, Columbia, MO 65201-5844 | 2017-05-25 |
| 1336536606 | Howard Avery Riley | Respiratory Therapist, Registered | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-04-23 |
| 1720484926 | Tina Marie Long | Respiratory Therapist, Registered | 1 Hospital Dr, Columbia, MO 65201-5276 | 2014-11-15 |
| 1528402583 | Charles Edward Parker | Respiratory Therapist, Registered | 800 Hospital Dr, Columbia, MO 65201-5275 | 2013-04-22 |
| 1073863866 | Scott M Lane | Respiratory Therapist, Registered | 2200 Harden St, Columbia, SC 29203-7107 | 2012-09-19 |
| 1184974008 | Holly W Lever | Respiratory Therapist, Registered | 2200 Harden St, Columbia, SC 29203-7107 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653627 | Shemell Rhodes | Respiratory Therapist, Registered | 500 E Cheves St, Florence, SC 29506-2616 | 2019-01-14 |
| 1679067110 | Valerie Call | Respiratory Therapist, Registered | 635 Ashcraft Cir Apt 531, Pawleys Island, SC 29585-8905 | 2018-06-19 |
| 1740714468 | Jenny Lynn Chaump | Respiratory Therapist, Registered | 122 Bee St, Suite 201 Charleston, Charleston, SC 29425-8912 | 2017-04-19 |
| 1831559384 | Jessica Stamm | Respiratory Therapist, Registered | 10 Avalon Ct, Sumter, SC 29154-7251 | 2016-02-26 |
| 1437526647 | Sherice Manuel | Respiratory Therapist, Registered | 433 Colony Dr, Ridgeland, SC 29936-4774 | 2015-08-24 |
| 1346632528 | Valarie Owens | Respiratory Therapist, Registered | 243 Stabler Farm Rd, St Matthews, SC 29135-8097 | 2015-02-25 |
| 1992113450 | Derrick Gibbs | Respiratory Therapist, Registered | 4401 Belle Oaks Dr Ste 280, North Charleston, SC 29405-8504 | 2014-07-29 |
| 1295166387 | Heather Lovely | Respiratory Therapist, Registered | 488 Greenwich Dr, Aiken, SC 29803-6543 | 2013-11-27 |
| 1386072940 | Supplemental Health Care | Respiratory Therapist, Registered | 539 Union Blvd, Union, SC 29379-2940 | 2013-10-17 |
| 1568899615 | Michael Todd Payne | Respiratory Therapist, Registered | 1410 Briarcroft Ln, Lugoff, SC 29078-9202 | 2013-10-03 |
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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.