MRS. CRYSTAL D COWAN (NPI# 1609011261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609011261 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL D COWAN |
| Other Name | MS. CRYSTAL D TYMUS |
| Credential | FNP-BC |
| Practice Address |
709 Spring Valley Rd Burlington WI 53105-7614 |
| Practice Telephone | 2627676000 |
| Practice Fax Number | 2627676000 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3599-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
3599 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1609011261 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963027 | Crystal Lee Cowan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-17 |
| Street Address |
709 SPRING VALLEY RD |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-7614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130782 | Anastasia H Fischer | Psychiatry & Neurology | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2005-08-09 |
| 1447860077 | Amanda Jo Hartman | Occupational Therapist | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2020-08-07 |
| 1710510227 | Karli Dorn | Physical Therapist | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2020-02-13 |
| 1447746896 | Maggie Leonardi | Physician Assistant | 709 Spring Valley Rd, Burlington, WI 53105 | 2018-07-09 |
| 1508308487 | Abigail L Kleg | Physical Therapist | 709 Spring Valley Rd, Burlington, WI 53105 | 2016-11-09 |
| 1942752092 | David Feather | Physical Therapist | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2016-10-25 |
| 1316498728 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 709 Spring Valley Rd, 1st Floor, Burlington, WI 53105-7614 | 2016-10-20 |
| 1164975074 | Kelsey Krebs | Physical Therapy Assistant | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2016-07-27 |
| 1205294311 | Kali Frantz | Physical Therapy Assistant | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2016-02-03 |
| 1902275779 | Megan Lallemont | Physical Therapy Assistant | 709 Spring Valley Rd, Burlington, WI 53105-7614 | 2015-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608328 | Tk Health LLC | Nurse Practitioner | 460 Veterans Dr Ste C, Burlington, NJ 08016-1259 | 2020-01-22 |
| 1497163034 | Kelly Elizabeth Bishop | Nurse Practitioner | 1838 Florence Pike Ste B, Burlington, KY 41005-1838 | 2014-07-28 |
| 1124256649 | Stephanie Harris | Nurse Practitioner | 2344 South Church Street, Burlington, NC 27215 | 2009-06-23 |
| 1447212378 | Kelly H Tate | Nurse Practitioner | 199 E.b. Tate Road, Burlington, NC 27217 | 2006-04-05 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1568455350 | Julie L Jones | Nurse Practitioner | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2005-08-26 |
| 1477191823 | Kathleen Rebecca Feighery | Nurse Practitioner | 6105 1st Financial Dr, Burlington, KY 41005-7892 | 2019-12-17 |
| 1144876863 | Emily Scribner | Nurse Practitioner | 1 S Prospect St, Burlington, VT 05401-3456 | 2019-08-19 |
| 1639725484 | Latoya Rivers | Nurse Practitioner | 914 Chapel Hill Rd, Burlington, NC 27215-6715 | 2019-08-16 |
| 1598310468 | Shelly L P Glascock | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2019-08-07 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.