CRYSTAL HACKETT


Address: 679 E County Line Rd, Greenwood, IN 46143-1049
Phone: 3178597222

CRYSTAL HACKETT (NPI# 1760021661) 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) 1760021661
Entity Type Individual
Full Name CRYSTAL HACKETT
Credential NP-C
Practice Address 679 E County Line Rd
Greenwood
IN 46143-1049
Practice Telephone 3178597222
Practice Fax Number 3178597220
Mailing Telephone 3178071241
Mailing Fax Number 3178594269
Enumeration Date 2019-12-26
Last Update Date 2020-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71009900A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN GROUP PTAN 677730 01

Other Providers CRYSTAL HACKETT

NPI Name Taxonomy Address Enumeration
1174131965 Crystal Carin Hackett Marriage & Family Therapist 1525 W David Ave, Chillicothe, IL 61523-1937 2020-07-17

Office Location

Street Address 679 E COUNTY LINE RD
City GREENWOOD
State IN
Zip Code 46143-1049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942209184 Kristian Hale Jensen Physician Assistant 679 E County Line Rd, Greenwood, IN 46143-1049 2005-07-19
1285184440 Urology of Indiana, LLC Durable Medical Equipment & Medical Supplies 679 E County Line Rd, Greenwood, IN 46143-1049 2016-10-11
1659824175 Stephanie Lynn Corman Nurse Practitioner 679 E County Line Rd, Greenwood, IN 46143-1049 2016-08-02
1548619190 Alexander John Felt Physician Assistant 679 E County Line Rd, Greenwood, IN 46143-1049 2016-06-05
1225485899 Urology of Indiana, LLC Obstetrics & Gynecology 679 E County Line Rd, Greenwood, IN 46143-1049 2016-05-24
1073969457 Maria Huynh Nurse Practitioner 679 E County Line Rd, Greenwood, IN 46143-1049 2016-05-04
1295145159 Brian Orr Urology 679 E County Line Rd, Greenwood, IN 46143-1049 2014-04-30
1376981084 Teresa A Lain Nurse Practitioner 679 E County Line Rd, Greenwood, IN 46143-1049 2013-06-05
1659613818 Christine Pan Obstetrics & Gynecology 679 E County Line Rd, Greenwood, IN 46143-1049 2013-03-25
1033462239 Jason Ronald Kovac Urology 679 E County Line Rd, Greenwood, IN 46143-1049 2012-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891395299 Tiffany Smirat Pharmacist 882 S Sr 135, Greenwood, IN 46143 2020-10-27
1083250138 Benajmin Thomas Nyboer Pharmacist 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 2019-11-25
1609417260 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 2019-10-04
1194282525 Homebased Mental Health Service Case Management 2244 Blossom Dr, Greenwood, IN 46143 2019-02-21
1710478078 Anne E Packard Pharmacist 333 E County Line Rd # 101, Greenwood, IN 46143 2018-05-22
1033607924 Ez Clinic Inc. Nurse Practitioner 494 S Emerson Ave Ste I, Greenwood, IN 46143 2018-04-25
1891246633 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 5961 N Sr 135, Greenwood, IN 46143 2016-10-17
1477919637 Ourhealth Physicians Group, LLC Clinic/Center 1273 N Emerson Ave Ste H, Greenwood, IN 46143 2016-01-04
1003212655 American Health Network of Indiana, LLC Non-Pharmacy Dispensing Site 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 2014-11-10
1265831366 Katie D'agosto Counselor 3000 S State Road 135 Ste 230, Greenwood, IN 46143 2014-08-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255930657 Caitlyn Shuck Nurse Practitioner 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 2020-10-19
1275015984 Monyce Evans Nurse Practitioner 6474 Old School Ln, Greenwood, FL 32443-2018 2018-08-30
1225447923 Lisa Terrell Nurse Practitioner 902 Sgt. John Pittman Drive, Greenwood, MS 38930-2800 2014-08-06
1588969448 Self Medical Group Nurse Practitioner 104 Liner Drive, Greenwood, SC 29646 2011-01-24
1770742462 Stacy Wade Nurse Practitioner 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143 2008-06-06
1326095738 Sandra Cameron Nurse Practitioner 2696 Main Street, Greenwood, NY 14839-0784 2006-05-30
1306458237 Rosanna Walker Nurse Practitioner 408 W Alexander Ave, Greenwood, SC 29646-4031 2020-08-21
1992346076 Adraine Marie Cox Nurse Practitioner 102 Professional Pl, Greenwood, MS 38930-9633 2019-09-30
1013477587 Laura Walradth Nurse Practitioner 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 2019-03-21
1902362734 Tammie Marshell Brown Nurse Practitioner 1401 River Rd, Greenwood, MS 38930-4030 2019-02-18
Find all providers in GREENWOOD

Competitor

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City GREENWOOD
Zip Code 46143

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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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