MRS. CRYSTAL LYNN MILLER (NPI# 1669868055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669868055 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LYNN MILLER |
| Other Name | MRS. CRYSTAL LYNN FANNIN |
| Credential | LPN |
| Practice Address |
4851 Rich Rd Morrisville NY 13408 |
| Mailing Address |
3305 State Rt 46 Bouckville NY 13310 |
| Practice Telephone | 3158937040 |
| Mailing Telephone | 3158937040 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 316083-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511460 | Crystal Starr Miller | Licensed Vocational Nurse | 184 Wampum Way, Seguin, TX 78155-6948 | 2020-09-02 |
| 1326698143 | Crystal Ann Miller | Respiratory Therapist, Registered | 77 Sw Riverview Pl, Gresham, OR 97080-6773 | 2019-09-13 |
| 1740846245 | Crystal A Miller | Registered Nurse | 1301 Liliha St Apt 109, Honolulu, HI 96817-4655 | 2019-05-10 |
| 1861979411 | Crystal Ann Miller | Technician/Technologist | 4525a Coles Mill Rd, Williamstown, NJ 08094-6247 | 2018-07-26 |
| 1467966234 | Crystal Rae Miller | Registered Nurse | 2396 S 300 E, Salt Lake City, UT 84115-2853 | 2017-11-30 |
| 1851837322 | Crystal Marie Miller | Occupational Therapist | 11492 Sunflower Road, Tell City, IN 47586 | 2017-01-09 |
| 1134493174 | Crystal Miller | Occupational Therapy Assistant | 456 Walnut Woods Dr, Greenwood, IN 46142-7547 | 2012-03-07 |
| 1639795768 | Crystal Miller | Social Worker | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2020-06-24 |
| 1174142178 | Crystal Rose Miller | Rehabilitation Practitioner | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2020-04-10 |
| 1265092175 | Crystal Miller | Behavioral Analyst | 3400 State St Ste G750, Salem, OR 97301-7012 | 2019-06-13 |
| Street Address |
4851 RICH RD |
| City | MORRISVILLE |
| State | NY |
| Zip Code | 13408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065908 | Melissa Middlebrook | Counselor | 10 Cambridge Ave, Morrisville, NY 13408 | 2020-02-21 |
| 1306115902 | Anne Kramer-mcginn | Licensed Practical Nurse | 18 West Maple Avenue, Morrisville, NY 13408 | 2011-12-28 |
| 1053609966 | Colin Valenta | Pharmacist | 14 East Main St, Morrisville, NY 13408 | 2011-07-12 |
| 1073683199 | Morrisville Physical Therapy Pllc | Physical Therapist | Big M Plaza 6 Cambridge Ave, Morrisville, NY 13408 | 2006-11-08 |
| 1194748376 | Jennifer Caloia | Pharmacist | 14 East Main Street, Morrisville, NY 13408 | 2006-07-26 |
| 1285657452 | Dougherty Pharmacy Inc. | Pharmacy | 14 E Main St Box 237, Morrisville, NY 13408 | 2006-07-26 |
| 1376920710 | Cmv Pharmacy Inc. | Pharmacy | 14 E Main St, Morrisville, NY 13408 | 2015-05-06 |
| 1598891442 | Mark Edward Nowakowski | Social Worker | 10 Cambridge Ave., Morrisville, NY 13408 | 2007-02-26 |
| 1760563969 | Adrien Ace Catania | Chiropractor | 36 E Main St, Morrisville, NY 13408 | 2006-10-17 |
| 1235152067 | Alan D. Stillman | Social Worker | 10 Cambridge Ave., Morrisville, NY 13408-0000 | 2006-07-25 |
| Find all providers in zip 13408 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124365812 | Dennis Patrick Sullivan | Licensed Practical Nurse | 4975 Reservoir Rd, Morrisville, NY 13408-1415 | 2013-01-15 |
| 1306115902 | Anne Kramer-mcginn | Licensed Practical Nurse | 18 West Maple Avenue, Morrisville, NY 13408 | 2011-12-28 |
| 1134441256 | Soren A Johnson | Licensed Practical Nurse | 3878 Bliss Rd, Morrisville, NY 13408-2218 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | MORRISVILLE |
| Zip Code | 13408 |
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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.