CRYSTAL LEE (NPI# 1801404744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801404744 |
Entity Type | Individual |
Full Name | CRYSTAL LEE |
Practice Address |
287 Old Marlton Pike Medford NJ 08055-8761 |
Mailing Address |
11 Beaver Dam Dr Sicklerville NJ 08081-5673 |
Practice Telephone | 8564890585 |
Mailing Telephone | 8563132521 |
Enumeration Date | 2020-07-16 |
Last Update Date | 2020-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AG07200019 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043841364 | Crystal H Lee | Specialist/Technologist | 603 Brookwood Dr, Thomaston, GA 30286-4156 | 2020-01-27 |
1699212282 | Crystal Lee | Home Health | 1725 Dover Ct, Ypsilanti, MI 48198-3214 | 2017-01-20 |
1750737672 | Crystal Lee | Counselor | 751 E Bayou Pines Dr., Suite C, Lake Charles, LA 70601 | 2016-05-10 |
1093130445 | Crystal Lee | Lactation Consultant, Non-RN | 335 W Santa Cruz Dr, Tempe, AZ 85282-4844 | 2014-02-21 |
1194984534 | Crystal Lee | Physical Therapy Assistant | 860 Highway 62 E Ste 10, Mountain Home, AR 72653-3200 | 2008-06-02 |
1306042858 | Crystal Magan Lee | Licensed Vocational Nurse | 9004 Birchleaf Ave, Downey, CA 90240-2309 | 2007-06-22 |
1154408946 | Crystal Unhe Lee | Optometrist | 2273 Bel Pre Rd, Silver Spring, MD 20906-2204 | 2006-11-01 |
1710584313 | Crystal Lee | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-06 |
1528530342 | Crystal Ann Lee | Nurse Practitioner | 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3006 | 2018-12-18 |
1215402136 | Crystal Brooke Lee | Nurse Practitioner | 710 N Sun Dr, Lake Mary, FL 32746-2507 | 2018-10-06 |
Street Address |
287 OLD MARLTON PIKE |
City | MEDFORD |
State | NJ |
Zip Code | 08055-8761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194298976 | Ambrosia of New Jersey LLC | Substance Abuse Rehabilitation Facility | 287 Old Marlton Pike, Medford, NJ 08055-8761 | 2019-01-04 |
1295139293 | Ambrosia of New Jersey LLC | Substance Abuse Rehabilitation Facility | 287 Old Marlton Pike, Medford, NJ 08055-8761 | 2014-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
Find all providers in zip 08055 |
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 |
---|---|---|---|---|
1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
1609406164 | Andey Amata-kynvi | Nurse Practitioner | 99 Jerome St, Medford, MA 02155-6736 | 2020-01-23 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
1922542489 | Genevieve Lumsden | Nurse Practitioner | 30 Auburn St, Medford, MA 02155-3623 | 2016-12-16 |
1821456708 | Sonia Nerteley Nettey | Nurse Practitioner | 86 Otis St Unit 2, Medford, MA 02155-4031 | 2016-02-05 |
1740532480 | Shannon Henderson | Nurse Practitioner | 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 | 2012-10-04 |
1548577307 | Elaina S Jensen | Nurse Practitioner | 2385 Table Rock Rd # 103, Medford, OR 97501-1510 | 2010-08-31 |
1891928495 | Roberta Marie Bell | Nurse Practitioner | 617 Palm St, Medford, OR 97501 | 2009-08-29 |
1750567129 | Robert Anthony Kiesecker Jr. | Nurse Practitioner | 781 Black Oak Dr Ste 102, Medford, OR 97504-9501 | 2008-01-16 |
Find all providers in MEDFORD |
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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.