CRYSTAL LEE


Address: 287 Old Marlton Pike, Medford, NJ 08055-8761
Phone: 8564890585

CRYSTAL LEE (NPI# 1801404744) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AG07200019 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CRYSTAL LEE

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

Office Location

Street Address 287 OLD MARLTON PIKE
City MEDFORD
State NJ
Zip Code 08055-8761

Providers in the same location

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

Providers in the same zip code

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
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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
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
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Competitor

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City MEDFORD
Zip Code 08055

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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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