MRS. CRYSTAL ZACKER (NPI# 1609419704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609419704 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL ZACKER |
| Credential | WHNP-BC |
| Practice Address |
3843 Mountain Rd Glen Allen VA 23060-1936 |
| Practice Telephone | 5403973088 |
| Mailing Telephone | 5403973088 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
104389775 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3843 MOUNTAIN RD |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912387465 | Christina Nicole Jennings | Nurse Practitioner | 11551 Nuckols Rd Ste C, Glen Allen, VA 23059-5565 | 2015-05-30 |
| 1316324726 | Christina Wical | Nurse Practitioner | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2015-05-05 |
| 1235320854 | Helen Habtemichael | Nurse Practitioner | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358651 | Mickeya Patrice Hayes | Nurse Practitioner | 700 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2020-08-26 |
| 1538790092 | Megan Renae Deel | Nurse Practitioner | 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 | 2020-02-03 |
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1326500976 | Adetutu Marioghae | Nurse Practitioner | 12783 Sidney Way, Lake Ridge, VA 22192-7611 | 2019-04-03 |
| 1568928398 | Laurie Carpenter | Nurse Practitioner | 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 | 2019-02-18 |
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1437604881 | Rosalie Marie Gunson | Nurse Practitioner | 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 | 2016-08-15 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on MRS. CRYSTAL ZACKER.
| 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.