CRYSTAL WATKINS (NPI# 1790272607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790272607 |
| Entity Type | Individual |
| Full Name | CRYSTAL WATKINS |
| Credential | RN, BSN, MSN |
| Practice Address |
258 Hanging Rock Hwy Logan WV 25601-5113 |
| Mailing Address |
25 Cook Rd Logan WV 25601-9715 |
| Practice Telephone | 3046889700 |
| Practice Fax Number | 3046889699 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 66417 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4114 1st Ave, Nitro, WV 251431304 | 3047550119 | 3047550111 |
| 5240 Maccorkle Ave Se, Charleston, WV 253042122 | 3049262300 | 3049262304 |
| 556 S Main St, Chapmanville, WV 255085001 | 3043102266 | 3043102269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487143426 | Crystal Lynn Watkins | Behavior Technician | 17505 Baluchi Ct, Perris, CA 92570-9839 | 2018-05-04 |
| 1184198525 | Crystal Watkins | Registered Nurse | 1301 N High St, Columbus, OH 43201-2460 | 2019-01-18 |
| 1972959252 | Crystal Watkins | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2016-05-05 |
| 1558408542 | Crystal Chanel Watkins | Psychiatry & Neurology | The Johns Hopkins Hospital, 600 North Wolfe Street, Meyer 131, Baltimore, MD 21287-0001 | 2007-01-31 |
| Street Address |
258 HANGING ROCK HWY |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1447305834 | Elizabeth Ann Booton | Nurse Practitioner | 550 E 1400 N Ste I, Logan, UT 84341-2450 | 2007-01-24 |
| 1306952932 | La Juana Dell Willis | Nurse Practitioner | 600 Gallegos, Logan, NM 88426-7602 | 2006-08-23 |
| 1851301246 | Chad B Speth | Nurse Practitioner | 235 E 400 N, Logan, UT 84321-4120 | 2006-08-08 |
| 1902870405 | Leslie Ann Burgie | Nurse Practitioner | 1220 W Hunter St, Logan, OH 43138-1012 | 2006-02-14 |
| 1871089748 | John Wesley Hart | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2018-07-03 |
| 1467947895 | Staci Diane Johnson Knight | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-27 |
| 1376033456 | Deven Willardson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2018-05-15 |
| 1477042943 | Tammi Endicott Blankenship | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-05-09 |
| 1912436478 | Matthew R Harvey | Nurse Practitioner | 630 E 1400 N Ste 135, Logan, UT 84341-2549 | 2017-06-08 |
| Find all providers in LOGAN | ||||
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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.