KRYSTAL ARCHIBALD (NPI# 1437669785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437669785 |
| Entity Type | Individual |
| Full Name | KRYSTAL ARCHIBALD |
| Credential | CF-SLP |
| Practice Address |
611 S 13th St Fort Pierce FL 34950-4054 |
| Practice Telephone | 7724644054 |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2017-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | SZ8355 | FL | Student, Health Care |
| Street Address |
611 S 13TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730135716 | Fort Pierce Health Care Associates LLC | Skilled Nursing Facility | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2006-05-25 |
| 1043869514 | Amy S Didier | Speech-Language Pathologist | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2019-09-08 |
| 1366987141 | Keely Everhart | Occupational Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2017-01-03 |
| 1881043339 | Wesley Baltimore | Student in an Organized Health Care Education/Training Program | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2016-06-06 |
| 1912353848 | Ralph Ciceron | Occupational Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2016-05-10 |
| 1700256542 | Wakendy Seraphin | Physical Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2015-10-06 |
| 1720468325 | Holly Brown | Speech-Language Pathologist | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2015-06-09 |
| 1336560002 | Diane Purdy | Occupational Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2013-12-26 |
| 1184052714 | Erin Kelley | Occupational Therapist | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2013-10-16 |
| 1447529185 | 611 South 13th Street Operations LLC | Skilled Nursing Facility | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2011-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| 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 |
|---|---|---|---|---|
| 1871980987 | Erica Mayland | Student in an Organized Health Care Education/Training Program | 17025 Hammock Ln, Fort Pierce, FL 34987-3110 | 2015-04-16 |
| 1891342879 | Marissa G Chin | Student in an Organized Health Care Education/Training Program | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2019-08-23 |
| 1881043339 | Wesley Baltimore | Student in an Organized Health Care Education/Training Program | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851126 | Jonathan Patrick Noel | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 304, Kissimmee, FL 34747-5436 | 2020-11-08 |
| 1982205928 | Christian Miguel Castilla | Student in an Organized Health Care Education/Training Program | 6800 Nw 39th Ave Lot 173, Coconut Creek, FL 33073-2159 | 2020-11-05 |
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1477153286 | Bruce Jordan Billinger | Student in an Organized Health Care Education/Training Program | 8851 Us Highway 19 N Apt 2307, Pinellas Park, FL 33782-5842 | 2020-10-30 |
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1053910752 | Nicole Maria Cooke | Student in an Organized Health Care Education/Training Program | 211 Buck Run Way, Saint Augustine, FL 32092-1833 | 2020-10-22 |
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on KRYSTAL ARCHIBALD.
| 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.