CRYSTAL MCDANIEL (NPI# 1619428893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619428893 |
| Entity Type | Individual |
| Full Name | CRYSTAL MCDANIEL |
| Practice Address |
610 Foxborough Ln Bonaire GA 31005-3663 |
| Practice Telephone | 4786978899 |
| Mailing Telephone | 4786978899 |
| Enumeration Date | 2016-10-22 |
| Last Update Date | 2016-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376815415 | Crystal Gail Mcdaniel | Nurse Practitioner | 250 Boswell Street, Lexington, TN 38351-1566 | 2012-02-06 |
| 1770868242 | Crystal Mcdaniel | Speech-Language Pathologist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2011-10-17 |
| Street Address |
610 FOXBOROUGH LN |
| City | BONAIRE |
| State | GA |
| Zip Code | 31005-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367897 | Scott Mcdaniel | Ambulance | 610 Foxborough Ln, Bonaire, GA 31005-3663 | 2016-10-17 |
| 1457802977 | Corie Parfitt | Non-emergency Medical Transport (VAN) | 610 Foxborough Ln, Bonaire, GA 31005-3663 | 2016-10-19 |
| 1053862581 | Peach Care Transportation | Non-emergency Medical Transport (VAN) | 610 Foxborough Ln, Bonaire, GA 31005-3663 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010211 | Christine Anne Hasbrouck | Nurse Practitioner | 257 Southfiled Court, Bonaire, GA 31005 | 2019-12-13 |
| 1518478023 | Cathleen Ann Cleary | Psychiatry & Neurology | 106 Julee Emilyn Drive, Bonaire, GA 31005 | 2017-10-24 |
| 1780107060 | Laura Lenhard Frawley | Nurse Practitioner | 220 Cardiff Court, Bonaire, GA 31005 | 2017-07-19 |
| 1891156758 | Southern Bridge Counseling, LLC | Community/Behavioral Health | 3100 Moody Rd, Ste. A, Bonaire, GA 31005 | 2016-03-18 |
| 1104203926 | Georgia Chiropractic and Wellness LLC | Chiropractor | 100 Stillwater Circle, Suite C, Bonaire, GA 31005 | 2015-04-30 |
| 1891197067 | Ashlee Zackeru Chafin | Nurse Anesthetist, Certified Registered | 706 Summer Ct, Bonaire, GA 31005 | 2014-09-19 |
| 1699199018 | Michelle Marie Allen | Nurse Practitioner | 774 Ga Hwy 96, Bonaire, GA 31005 | 2014-02-05 |
| 1437597168 | Lana Alden Dellinger | Physical Therapist | 101 Stillwater Circle, Bonaire, GA 31005 | 2013-06-04 |
| 1215154810 | Joseph F Mcdaniel | Pharmacist | 785 Hwy 96, Bonaire, GA 31005 | 2007-04-18 |
| 1932229242 | Marla Winge Baltz | Pharmacist | 785 Hwy. 96, Bonaire, GA 31005 | 2007-03-30 |
| Find all providers in zip 31005 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367897 | Scott Mcdaniel | Ambulance | 610 Foxborough Ln, Bonaire, GA 31005-3663 | 2016-10-17 |
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|---|---|---|---|---|
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| 1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
| 1043831241 | Health Investment Group Inc | Ambulance | 1331 Wynnton Ct, Columbus, GA 31906-2140 | 2020-04-29 |
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| Find all providers with the same taxonomy | ||||
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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.