CRYSTAL GAIL KINZALOW-HARDIMON (NPI# 1447851910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447851910 |
| Entity Type | Individual |
| Full Name | CRYSTAL GAIL KINZALOW-HARDIMON |
| Credential | APRN, FNP-C |
| Practice Address |
200 S Castlerock Ln Mustang OK 73064-4584 |
| Practice Telephone | 4052566000 |
| Mailing Telephone | 4052566000 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09200273 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 S CASTLEROCK LN |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-4584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048057 | Monica L Halcomb | Nurse Practitioner | 200 S Castlerock Ln, Mustang, OK 73064-4584 | 2005-10-25 |
| 1386146041 | Marlee Tosh Robinson | Nurse Practitioner | 200 S Castlerock Ln, Mustang, OK 73064-4584 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015947 | Shella Marie Gettings | Nurse Practitioner | 705 E Juniper Ln, Mustang, OK 73064-4258 | 2019-10-19 |
| 1700361490 | Krystel Huddleston | Nurse Practitioner | 11009 Sw 39th Ct, Mustang, OK 73064-9250 | 2018-09-27 |
| 1225588361 | Jessica Streller | Nurse Practitioner | 543 E State Highway 152 Ste 105, Mustang, OK 73064-4502 | 2016-10-13 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1841674561 | Melody Ann Denton | Nurse Practitioner | 141 E Dolton Ln, Mustang, OK 73064-4001 | 2015-07-13 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1427048057 | Monica L Halcomb | Nurse Practitioner | 200 S Castlerock Ln, Mustang, OK 73064-4584 | 2005-10-25 |
| 1275164899 | Gettings Better Health, Pllc | Nurse Practitioner | 705 E Juniper Ln, Mustang, OK 73064-4258 | 2020-02-02 |
| 1386146041 | Marlee Tosh Robinson | Nurse Practitioner | 200 S Castlerock Ln, Mustang, OK 73064-4584 | 2018-03-08 |
| 1295286854 | Amber Redding-slootheer | Nurse Practitioner | 106 W State Highway 152, Mustang, OK 73064-3902 | 2016-10-19 |
| Find all providers in MUSTANG | ||||
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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.