KRYSTAL D LONGDEN (NPI# 1548636715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548636715 |
| Entity Type | Individual |
| Full Name | KRYSTAL D LONGDEN |
| Credential | HIS |
| Practice Address |
900 W Springfield Rd Suite 1 Taylorville IL 62568-1299 |
| Mailing Address |
233 N Main St Suite 3 Decatur IL 62523-1208 |
| Practice Telephone | 2172871300 |
| Practice Fax Number | 2172871330 |
| Mailing Telephone | 2178755555 |
| Mailing Fax Number | 2175427490 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 043117357 | IL | Nursing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | 3213 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
900 W SPRINGFIELD RD SUITE 1 |
| City | TAYLORVILLE |
| State | IL |
| Zip Code | 62568-1299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980560 | Dennis W Rabe | Optometrist | 900 W Springfield Rd, Taylorville, IL 62568-1213 | 2005-05-24 |
| 1942680228 | Maxx M Craggs | Optometrist | 900 W Springfield Rd, Taylorville, IL 62568-1299 | 2015-06-02 |
| 1639599335 | Ashley May | Hearing Instrument Specialist | 900 W Springfield Rd, Suite 2, Taylorville, IL 62568-1299 | 2014-04-21 |
| 1427174275 | Central Illinois Optometric Associates Ltd | Optometrist | 900 W Springfield Rd, Taylorville, IL 62568-1213 | 2007-03-22 |
| 1144223983 | Debra Smothers-champley | Optometrist | 900 W Springfield Rd, Taylorville, IL 62568-1213 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
| 1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
| 1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
| 1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
| 1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
| 1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
| 1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
| 1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
| Find all providers in zip 62568 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629578158 | Hearing At Home, Inc. | Hearing Instrument Specialist | 119 W Park St Ste B, Taylorville, IL 62568-1593 | 2018-02-21 |
| 1639599335 | Ashley May | Hearing Instrument Specialist | 900 W Springfield Rd, Suite 2, Taylorville, IL 62568-1299 | 2014-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432517 | Erin Robinson | Hearing Instrument Specialist | 304 E Rand Rd Ste 100, Arlington Heights, IL 60004-3188 | 2020-09-21 |
| 1891308573 | Schackmann Hearing Group LLC | Hearing Instrument Specialist | 212 E Jefferson Ave Ste 2, Effingham, IL 62401-3458 | 2020-08-24 |
| 1801419593 | Teresa Barnes | Hearing Instrument Specialist | 60 E Main St Ste 2c, Cary, IL 60013-2227 | 2020-05-28 |
| 1730718024 | Grace M Leynes | Hearing Instrument Specialist | 107 S State St, Monticello, IL 61856-1968 | 2020-04-07 |
| 1659909125 | David Mccormick | Hearing Instrument Specialist | 1521 N Convent St Ste 300, Bourbonnais, IL 60914-1483 | 2020-03-31 |
| 1003443243 | Jerry Drabik | Hearing Instrument Specialist | 100 E Roosevelt Rd Ste 19, Villa Park, IL 60181-3529 | 2020-03-26 |
| 1245866466 | Lynne Marie Gilliland | Hearing Instrument Specialist | 256 S Route 59 Ste 120, Naperville, IL 60540-9108 | 2020-03-19 |
| 1194351395 | Victoria Wright | Hearing Instrument Specialist | 15880 S La Grange Rd Ste D09, Orland Park, IL 60462-4702 | 2020-03-19 |
| 1801428313 | Grant Matthew O'bryan | Hearing Instrument Specialist | 3718 Broadway St, Quincy, IL 62305-2822 | 2020-02-12 |
| 1255963278 | William B Hays | Hearing Instrument Specialist | 1130 E Main St Ste B, Carbondale, IL 62901-3122 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORVILLE |
| Zip Code | 62568 |
Please comment or provide details below to improve the information on KRYSTAL D LONGDEN.
| 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.