CRYSTAL L TAYLOR (NPI# 1740555705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740555705 |
| Entity Type | Individual |
| Full Name | CRYSTAL L TAYLOR |
| Credential | NP |
| Practice Address |
303 Darling Ave Waycross GA 31501-5223 |
| Practice Telephone | 9122831717 |
| Practice Fax Number | 9122837633 |
| Mailing Telephone | 9122831717 |
| Mailing Fax Number | 9122837633 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN169794 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN169794 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094637 | Crystal Taylor | Licensed Practical Nurse | 1315 Oakfied Dr #101, Brandon, FL 33509-3350 | 2020-05-13 |
| 1558914143 | Crystal Davis Taylor | Family Medicine | 3712 Macarthur Blvd Ste 202, New Orleans, LA 70114-6866 | 2019-07-22 |
| 1073092847 | Crystal Renee Taylor | Recreation Therapist | 45629 Mandalay Cir, Utica, MI 48315-6843 | 2018-08-12 |
| 1245724624 | Crystal Taylor | Counselor | 2900 Pearland Pkwy Apt 6104, Pearland, TX 77581-4088 | 2018-06-19 |
| 1467771089 | Crystal Taylor | Social Worker | 492 Paradise Rd, Aberdeen, MD 21001-1815 | 2010-05-21 |
| 1033341177 | Crystal Lynn Taylor | Speech-Language Pathologist | 4801 S Henney Rd, Choctaw, OK 73020-5629 | 2009-08-21 |
| 1912171976 | Crystal L'tara Taylor | Pharmacist | 3901 W Markham St, Little Rock, AR 72205-5527 | 2008-04-21 |
| 1962025338 | Crystal Taylor | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Spc 5332, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109 | 2020-05-20 |
| 1083246490 | Crystal Taylor | Behavioral Analyst | 7613 Standish Pl, Rockville, MD 20855-2702 | 2020-02-04 |
| 1548729221 | Crystal Taylor | Physical Therapist | 1060 Eagles Landing Pkwy Ste 130, Stockbridge, GA 30281-9091 | 2019-03-13 |
| Street Address |
303 DARLING AVE |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467426023 | Lina Heath Harper | Family Medicine | 303 Darling Ave, Waycross, GA 31501-5223 | 2006-02-13 |
| 1255947610 | Hannah Harper Banach | Nurse Practitioner | 303 Darling Ave, Waycross, GA 31501-5223 | 2020-09-21 |
| 1164796488 | Leanna Jaye Lewis | Nurse Practitioner | 303 Darling Ave, Waycross, GA 31501-5223 | 2012-03-05 |
| 1508886953 | Lina Heath Harper, M.d., P.C. | Family Medicine | 303 Darling Ave, Waycross, GA 31501-5223 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649926 | Jessica Delores Johnson | Nurse Practitioner | 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 | 2020-05-03 |
| 1164043055 | Shawana Mitchell Taylor | Nurse Practitioner | 1115 Porter St, Waycross, GA 31501-5640 | 2020-05-01 |
| 1700410644 | Emilie Ann King | Nurse Practitioner | 1707 Danora Dr, Waycross, GA 31501-4153 | 2020-03-01 |
| 1427609262 | Rilla Margaret Highsmith | Nurse Practitioner | 5675 Wooddell Dr, Waycross, GA 31503-4482 | 2019-09-23 |
| 1174003917 | Heather Franklin | Nurse Practitioner | 1815 Rhoda St, Waycross, GA 31503-1727 | 2018-08-21 |
| 1992292874 | Yotta Lasheka Burton | Nurse Practitioner | 1100 Atlantic Ave, Waycross, GA 31501-3255 | 2018-04-17 |
| 1548760622 | Utrena Donsha Grant | Nurse Practitioner | 1707 Saint Marys Dr, Waycross, GA 31501-5207 | 2018-02-15 |
| 1760939441 | Sara S Knox | Nurse Practitioner | 1712 Vernon St, Waycross, GA 31501-7358 | 2016-09-09 |
| 1871047399 | Lori Henderson | Nurse Practitioner | 624 Tebeau St, Waycross, GA 31501-4728 | 2016-08-12 |
| 1033508791 | Jacobs Clinic, Inc. | Nurse Practitioner | 403 Lister St, A, Waycross, GA 31501-5225 | 2015-01-20 |
| Find all providers in WAYCROSS | ||||
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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.