CRYSTAL DAWN CANTERBURY (NPI# 1720543382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720543382 |
Entity Type | Individual |
Full Name | CRYSTAL DAWN CANTERBURY |
Credential | RN |
Practice Address |
1 Ranger Dr Williamson WV 25661-9165 |
Mailing Address |
66 Right Fork Laurel Crk Lenore WV 25676-7010 |
Practice Telephone | 3042353333 |
Mailing Telephone | 3042353333 |
Enumeration Date | 2019-02-07 |
Last Update Date | 2019-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
60059 | WV | Nursing Service Providers |
Street Address |
1 RANGER DR |
City | WILLIAMSON |
State | WV |
Zip Code | 25661-9165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962909184 | April Hall | Registered Nurse | 1 Ranger Dr, Williamson, WV 25661-9165 | 2018-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
Find all providers in zip 25661 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962909184 | April Hall | Registered Nurse | 1 Ranger Dr, Williamson, WV 25661-9165 | 2018-04-13 |
1427462530 | Antoinette Harris | Registered Nurse | 2849 Shepherd Rd, Williamson, NY 14589-9519 | 2014-06-17 |
1952615148 | Katherine Denise Button | Registered Nurse | 4440 Ridge Rd, Williamson, NY 14589-9382 | 2010-07-30 |
1689988867 | Amy Caldwell Burdett | Registered Nurse | 6036 Highland Ave, Williamson, NY 14589-9731 | 2010-07-30 |
1699172809 | Tammie E. Bixby | Registered Nurse | 6036 Highland Ave, Williamson, NY 14589-9731 | 2014-12-03 |
1417384611 | Jessica Leigh Shaver | Registered Nurse | 4184 Miller St, Williamson, NY 14589-9713 | 2013-10-02 |
1780956821 | Vickie S Smeatin | Registered Nurse | 4440 Ridge Rd, Williamson, NY 14589-9382 | 2012-02-06 |
1104196658 | Jennifer Lee Miller | Registered Nurse | 4184 Miller St, Williamson, NY 14589-9713 | 2011-12-30 |
1144501958 | Bethany Renee Moore | Registered Nurse | 5891 Route 21, Williamson, NY 14589-9102 | 2011-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821603077 | Rachel M. Wright-mckay | Registered Nurse | 39 Golden Bear Dr, New Cumberland, WV 26047-1670 | 2020-09-14 |
1659986198 | Kaitlyn Hawkins | Registered Nurse | 125 Sinclair Ave, Weirton, WV 26062-4248 | 2020-09-11 |
1750996633 | Kelsey Lynn Neterer | Registered Nurse | 1453 Winchester Ave, Martinsburg, WV 25405-5022 | 2020-09-09 |
1275144982 | Mary Kathryn Lyons | Registered Nurse | 128 Frankfort Rd, New Cumberland, WV 26047-3004 | 2020-08-14 |
1851927040 | Suzanne M. Barnette | Registered Nurse | 77 Courthouse Dr, Winfield, WV 25213-9347 | 2020-03-19 |
1902456718 | Jennifer Lynn Fletcher | Registered Nurse | 800 East Mcdonald Avenue, Man, WV 25635 | 2019-09-13 |
1730737925 | Jennifer Kincaid | Registered Nurse | 500 Flat Top Rd, Shady Spring, WV 25918-8615 | 2019-08-30 |
1326511155 | Shayla Rashell Hagan | Registered Nurse | 331 Buffalo Creek Rd, Kenova, WV 25530-9611 | 2019-01-04 |
1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
1053893412 | Diedra Shanel Huggins | Registered Nurse | 333 Foundry Street, New Martinsville, WV 26155 | 2018-09-02 |
Find all providers with the same taxonomy |
City | WILLIAMSON |
Zip Code | 25661 |
Please comment or provide details below to improve the information on CRYSTAL DAWN CANTERBURY.
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.