CRYSTAL BLAIR (NPI# 1689074411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689074411 |
| Entity Type | Individual |
| Full Name | CRYSTAL BLAIR |
| Practice Address |
2428 W Reynolds Ave Centralia WA 98531-4554 |
| Practice Telephone | 3603309044 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN00077332 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410095 | Crystal Blair | Physical Therapist | 5050 Lincoln Ave Apt Suite, Evansville, IN 47715-7390 | 2020-09-04 |
| 1003269424 | Crystal Elaine Blair | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2016-07-20 |
| 1952775017 | Crystal Vechlekar Blair | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-11-30 |
| Street Address |
2428 W REYNOLDS AVE |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427156520 | Dwayne Allen Kruse | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2006-09-20 |
| 1447857172 | Aurora Cecelia Beck | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1447857180 | Kristina Chavez | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1518564251 | Alyssa Logan | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1659985117 | Dakota E Carucci | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-09-02 |
| 1639789381 | Lindsay Baker | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-07 |
| 1184234064 | Brent Garrett Erwin | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-05 |
| 1245848589 | Falisha Irene Bazemore | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-07-22 |
| 1376161273 | Bronson Makoa Lee | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-07-08 |
| 1063038966 | Amber Shay Kesgard | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1235514050 | Coleen Ferris | Registered Nurse | 1221 Johnson Rd, Centralia, WA 98531-4541 | 2015-07-22 |
| 1831439710 | Kathy Kingsley | Registered Nurse | 904 E. Martin Luther King Jr. Dr., Centralia, IL 62801-3058 | 2013-02-28 |
| 1336399971 | Kristine Elaine Barton | Registered Nurse | 616 Green Street Rd, Centralia, IL 62801-2128 | 2008-09-19 |
| 1801071543 | Paul S Havrilka IIi | Registered Nurse | 208 E 3rd St, Centralia, IL 62801-3902 | 2007-12-31 |
| 1578556320 | Robin L Hoeniges | Registered Nurse | 1740 Cooks Hill Rd, Centralia, WA 98531-9071 | 2005-08-26 |
| 1922626829 | Keana Stout | Registered Nurse | 3510 Steelhammer Lane, Centralia, WA 98531-4551 | 2020-07-08 |
| 1447884374 | Michelle Stover | Registered Nurse | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-02-29 |
| 1770116436 | Icel Sullivan | Registered Nurse | 1911 Cooks Hill Rd, Centralia, WA 98531-9073 | 2020-02-20 |
| 1457981169 | Hannah Nikoll Myklebust | Registered Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-01-22 |
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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.