CRYSTAL THREADGILL (NPI# 1528500907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528500907 |
| Entity Type | Individual |
| Full Name | CRYSTAL THREADGILL |
| Practice Address |
3737 Government Blvd Ste 203 Mobile AL 36693-4310 |
| Practice Telephone | 2513007134 |
| Practice Fax Number | 2512027851 |
| Mailing Telephone | 2513007134 |
| Mailing Fax Number | 2512027851 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-072567 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3737 GOVERNMENT BLVD STE 203 |
| City | MOBILE |
| State | AL |
| Zip Code | 36693-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679513683 | Thomas S Bennett | Psychologist | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2006-06-07 |
| 1992331573 | Krystal Nicole Smith | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2020-03-16 |
| 1902354178 | Miranda Goodwin | Social Worker | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2016-09-16 |
| 1871968206 | Valerie Violet Schofield | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2015-12-10 |
| 1720249261 | Nathan Samuel Baughn | Social Worker | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2008-06-18 |
| 1306983143 | Bradley Sadler | Psychiatry & Neurology | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
| 1982823548 | Eric Carey Dekle | Physical Therapist | 1220 Azalea Road, Mobile, AL 36693 | 2007-04-24 |
| 1528189198 | Roy Edward Kadel | Chiropractor | 3504 Shadow Wood Court, Mobile, AL 36693 | 2007-04-02 |
| 1578606174 | John P Kline | Psychologist | 5406 Spring Dr, Mobile, AL 36693 | 2007-02-14 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1669541595 | Alison Rester Akridge | Dentist | 3977 Burma Rd, Mobile, AL 36693 | 2006-11-07 |
| 1376612200 | Skyline Family Dental Care PC | Dentist | 3977 Burma Road, Mobile, AL 36693 | 2006-11-07 |
| 1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
| 1356390702 | Mobility Medical of North | Durable Medical Equipment & Medical Supplies | 3954 Demetropolis Rd, Mobile, AL 36693 | 2006-05-10 |
| 1043441041 | Renee' Huff | Social Worker | 5750a Southland Dr, Mobile, AL 36693 | 2009-08-07 |
| Find all providers in zip 36693 | ||||
| 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 |
|---|---|---|---|---|
| 1467628693 | Sheila Bouler | Nurse Practitioner | 3930 Airport Blvd, Suite F, Mobile, AL 36608-1692 | 2008-05-07 |
| 1043244189 | Lisa Jan Seay | Nurse Practitioner | 6554 Hounds Run N, Mobile, AL 36608-5407 | 2006-07-11 |
| 1992331573 | Krystal Nicole Smith | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2020-03-16 |
| 1174156103 | Beverly Joyce Ales | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2020-02-18 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1851941397 | Kina Cousin Hooks | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2019-09-17 |
| 1831656701 | Kiwana Trechelle Brooks | Nurse Practitioner | 2400 Gordon Smith Dr, Mobile, AL 36617 | 2019-02-26 |
| 1184125445 | Tammy Hoadley Lee | Nurse Practitioner | 735 S Washington Ave, Mobile, AL 36603-1301 | 2018-02-22 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| Find all providers in MOBILE | ||||
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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.