CRYSTAL DAWN EAVES


Address: 1604 N Washington Ave, Durant, OK 74701-2128
Phone: 5809200909

CRYSTAL DAWN EAVES (NPI# 1740613694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740613694
Entity Type Individual
Full Name CRYSTAL DAWN EAVES
Practice Address 1604 N Washington Ave
Durant
OK 74701-2128
Practice Telephone 5809200909
Practice Fax Number 5809313119
Mailing Telephone 5809200909
Mailing Fax Number 5809313119
Enumeration Date 2013-08-14
Last Update Date 2013-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK PRIVATE PAY 10 01

Office Location

Street Address 1604 N WASHINGTON AVE
City DURANT
State OK
Zip Code 74701-2128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467585463 Linda Coffman Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2007-03-13
1376093963 Oklahoma Families First, Inc Residential Treatment Facility, Emotionally Disturbed Children 1604 N Washington Ave, Durant, OK 74701-2128 2016-10-07
1285046466 Martha Wilson Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2014-05-22
1245665108 Monica Rae Terrell Case Manager/Care Coordinator 1604 N Washington Ave, Durant, OK 74701-2128 2013-09-11
1780017236 Jonathan Warren Mason Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2013-08-19
1497188205 Steven Thomas Evans Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2013-08-15
1174955157 Tiffany Brown Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2013-08-01
1326480625 Abigail Arleen Hackett Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2013-07-27
1104268523 Edwin Kirk Ballard Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2013-07-26
1578903829 Heidi Annette Loyd Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2013-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134738362 Elevate Therapy, Pllc Physical Therapist 523 N Wshington Ave, Durant, OK 74701 2020-07-23
1093334906 Duncan Kovash Nurse Practitioner 1901 Chukka Hina, Durant, OK 74701 2020-04-10
1184193690 Inventive Therapy Services, LLC Occupational Therapist 2620 Maxey Dr, Durant, OK 74701 2018-11-14
1790271831 Jazmine Gabrielle Benavidez Specialist/Technologist 1713 North 1st Avenue, Durant, OK 74701 2018-07-02
1538659586 Katelen Sue Morgan Case Manager/Care Coordinator 1011 Donna Sue Pl, Durant, OK 74701 2018-05-15
1164941035 Nsight for Life LLC Community/Behavioral Health 1313 N 16th, Durant, OK 74701 2017-09-12
1023534666 Damon Dye Physical Therapist 30 W 3rd St, Durant, OK 74701 2017-08-15
1437605250 Casey Worsham Nurse Practitioner 1800 W University, Durant, OK 74701 2016-08-31
1083160857 Denise Adanho Case Manager/Care Coordinator 1218 Stonebrook Circle, Durant, OK 74701 2016-08-31
1962850271 Justi Thompson Case Manager/Care Coordinator 4817 Ciara St, Durant, OK 74701 2016-05-26
Find all providers in zip 74701

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740803626 Jason Don Shoemaker Case Manager/Care Coordinator 5202 Pheasant Run, Durant, OK 74701-2443 2020-05-26
1457907602 Tera M Lester Case Manager/Care Coordinator 1313 N 16th Ave, Durant, OK 74701-2134 2019-08-14
1891350260 Maryann Almaguer Case Manager/Care Coordinator 1105 W Elm St, Durant, OK 74701-4135 2019-05-01
1346719606 Tayler Denise Marcy Case Manager/Care Coordinator 2008 Four Seasons Dr, Durant, OK 74701-2434 2018-11-15
1639658867 Dillon Cook Case Manager/Care Coordinator 5174 Silo Rd, Durant, OK 74701-7577 2018-08-08
1538653365 James Christie Jr. Case Manager/Care Coordinator 4323 Osage St, Durant, OK 74701-1612 2018-06-15
1538659586 Katelen Sue Morgan Case Manager/Care Coordinator 1011 Donna Sue Pl, Durant, OK 74701 2018-05-15
1427505510 Ryan Shane Cook Case Manager/Care Coordinator 1101 Baltimore St, Durant, OK 74701-3241 2016-09-06
1083160857 Denise Adanho Case Manager/Care Coordinator 1218 Stonebrook Circle, Durant, OK 74701 2016-08-31
1962850271 Justi Thompson Case Manager/Care Coordinator 4817 Ciara St, Durant, OK 74701 2016-05-26
Find all providers in DURANT

Competitor

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City DURANT
Zip Code 74701

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Dataset Information

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.

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