MRS. CHRYSTAL G MOORE (NPI# 1417434747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417434747 |
| Entity Type | Individual |
| Full Name | MRS. CHRYSTAL G MOORE |
| Other Name | CHRYSTAL G WILLIAMS |
| Credential | ARNP |
| Practice Address |
33480 13th Pl S Federal Way WA 98003-6357 |
| Mailing Address |
1563 Hemlock Dr Oak Harbor WA 98277-3404 |
| Practice Telephone | 7573239104 |
| Mailing Telephone | 7573239104 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60796385 | WA | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60870464 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP60870464 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60870464 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1563 Hemlock Dr, Oak Harbor, WA 982773404 | 7573239104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447747092 | Chrystal Moore | Technician | 1010 Vermont Ave Nw Ste 1003, Washington, DC 20005-4927 | 2018-04-19 |
| 1275965279 | Chrystal D Moore | Case Manager/Care Coordinator | 141 E Main St, Waterbury, CT 06702-2310 | 2013-08-01 |
| Street Address |
33480 13TH PL S |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1871194993 | Christine Karanja | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-11-04 |
| 1407457526 | Chasity Riddle | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-11-04 |
| 1457969958 | Nicole Mcbride | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-07-21 |
| 1053939579 | Steffi Miesha Johnson | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-07-10 |
| 1043834047 | Margie Shin | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-04 |
| 1417571415 | Tavon Shelley | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-04 |
| 1609490606 | Cameron Rowe | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-04 |
| 1093339251 | Ronald Cabanilla | Licensed Practical Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-03 |
| 1477177954 | Henry E Paul | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960227 | Mary Mina Flake | Nurse Practitioner | 31500 33rd Pl Sw, Unit J204, Federal Way, WA 98023-2269 | 2016-01-18 |
| 1902325541 | Karin R Riggs | Nurse Practitioner | 3430 Sw 320th St Ste D2, Federal Way, WA 98023-2292 | 2017-09-14 |
| 1023486248 | Olivia Uhart | Nurse Practitioner | 33301 1st Way S, C115, Federal Way, WA 98003-6252 | 2015-09-03 |
| 1346685278 | Namieka T Salabie | Nurse Practitioner | 34617 11th Pl S, # 301, Federal Way, WA 98003-8706 | 2013-05-06 |
| 1790022861 | Lindsey A. Miller, Arnp, LLC | Nurse Practitioner | 33305 1st Way S, B203, Federal Way, WA 98003-6235 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.