CRYSTAL MARIE RANDALL (NPI# 1598262453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598262453 |
| Entity Type | Individual |
| Full Name | CRYSTAL MARIE RANDALL |
| Credential | CRNP |
| Practice Address |
630 S Exeter St. Baltimore MD 21203 |
| Mailing Address |
630 S Exeter St Baltimore MD 21202-4316 |
| Practice Telephone | 4109266520 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R182733 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 S EXETER ST. |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568063337 | Rapid Heartbeatllc | In Home Supportive Care | 3200 Reisterstown Rd Ste B, Baltimore, MD 21215-8064 | 2020-11-06 |
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1942801915 | Cheldone Levonne Jones | Social Worker | 1900 N Howard St # 300, Baltimore, MD 21218-5909 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1558962761 | Altimax Home Care, LLC | In Home Supportive Care | 2141 Huntingdon Ave, Baltimore, MD 21211-3210 | 2020-11-04 |
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| Find all providers in BALTIMORE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
| 1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
| 1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
| 1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
| 1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
| 1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
| 1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
| 1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
| 1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
| Find all providers in BALTIMORE | ||||
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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.