CRYSTA MICHELLE NILSSON (NPI# 1801399191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801399191 |
| Entity Type | Individual |
| Full Name | CRYSTA MICHELLE NILSSON |
| Practice Address |
5118 Park Ave Ste 115 Memphis TN 38117-5720 |
| Mailing Address |
1929 Lynnwood Dr Columbia TN 38401-3915 |
| Practice Telephone | 9014588638 |
| Mailing Telephone | 9014588638 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
5118 PARK AVE STE 115 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048542 | Opportunities Never End LLC | Counselor | 5629 Falling Bark Dr, Memphis, TN 38134-6671 | 2020-06-22 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1801444872 | Mary Hilgeman Neal | Counselor | 297 Mary Ann Dr, Memphis, TN 38117-2805 | 2019-09-03 |
| 1134695851 | Savannah Burton | Counselor | 895 S Cooper St Ste 12&3, Memphis, TN 38104-5604 | 2018-10-19 |
| 1205301611 | Britney Bryson | Counselor | 4525 Lunsford Dr, Memphis, TN 38125-3284 | 2018-10-11 |
| 1730663063 | Timothy Terry | Counselor | 1714 Monroe Ave, Memphis, TN 38104-3924 | 2018-09-22 |
| 1154801934 | Elizabeth Marie Vigus | Counselor | 1407 Union Ave Ste 805, Memphis, TN 38104-3642 | 2018-08-21 |
| 1316436439 | Mardrey Alicia Wade Kiles | Counselor | 4440 Bishop Hills Dr, Memphis, TN 38128-7427 | 2018-05-03 |
| 1750897146 | Kelley Goodwin | Counselor | 2023 W Houston Way, Memphis, TN 38139-6933 | 2017-12-20 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| Find all providers in MEMPHIS | ||||
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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.