CRYSTAL SHANELLE DYER (NPI# 1841485018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841485018 |
| Entity Type | Individual |
| Full Name | CRYSTAL SHANELLE DYER |
| Other Name | CRYSTAL SHANELLE CARAWAY |
| Credential | M.D. |
| Practice Address |
850 W Main St Ste 2 Rogersville TN 37857-3663 |
| Mailing Address |
684 Slate Creek Rd Greeneville TN 37743-3540 |
| Practice Telephone | 4235000266 |
| Practice Fax Number | 4235004280 |
| Mailing Telephone | 4235521531 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
0101247662 | VA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
44247 | TN | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
02201 | WV | Allopathic & Osteopathic Physicians |
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
44247 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA - MORRISTOWN CENTER FOR WELLNESS | FD4444155 | 01 |
| TN | STATE MEDICAL LICENSE | 44247 | 01 |
| TN | DEA - REVIVE WELLNESS | FD1326974 | 01 |
| TN | DEA - ROGERSVILLE CENTER FOR WELLNESS | FD4444193 | 01 |
| TN | DEA - SEVIERVILLE CENTER FOR WELLNESS | FD4444179 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 E Mckinney Ave, Rogersville, TN 378572817 | 4232721900 | |
| 1360 Dolly Parton Pkwy, Sevierville, TN 378623715 | 8654290921 | |
| 1843 W Morris Blvd, Morristown, TN 378132837 | 4235817976 | 4235817977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851601496 | Crystal Dyer | Registered Nurse | 24 Lincoln Rd, Wurtsboro, NY 12790 | 2010-10-18 |
| 1053861609 | Crystal Joy Dyer | Nurse Practitioner | 1901 E 32nd St, Suite 20, Joplin, MO 64804-3072 | 2016-10-06 |
| Street Address |
850 W MAIN ST STE 2 |
| City | ROGERSVILLE |
| State | TN |
| Zip Code | 37857-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942766852 | Alaina M Kuebler | Occupational Therapist | 109 Tn-70, Rogersville, TN 37857 | 2019-02-15 |
| 1366823460 | Crystal L Stiltner | Family Medicine | 405 Scenic Dr Ste B, Rogersville, TN 37857 | 2015-06-15 |
| 1689867715 | Louis V Salamina | Chiropractor | 952 W. Broadway Suite 100, Rogersville, TN 37857 | 2007-08-22 |
| 1538224464 | Timothy D. Gunnin, D.d.s., P.C. | Dentist | 110 South Hasson Street, Rogersville, TN 37857 | 2006-12-22 |
| 1952464232 | Timothy Davis Gunnin | Dentist | 110 South Hasson St, Rogersville, TN 37857 | 2006-12-18 |
| 1043393358 | Andrew John Morgan | Case Manager/Care Coordinator | 101 Lena Dr., Rogersville, TN 37857 | 2006-10-23 |
| 1922191428 | Hometown Home Health Care, Inc. | Home Health | 121 Forest Hills Rd., Suite B, Rogersville, TN 37857 | 2006-10-02 |
| 1689687733 | Randall Paul Weaver | Social Worker | 101 Lena Drive, Hawkins Cn Mental Health Ctr, Rogersville, TN 37857 | 2006-08-13 |
| 1194754234 | Blue Ridge Medical Management Corporation | Internal Medicine | Health Link of Rogersville, 900 West Main Street, Rogersville, TN 37857 | 2006-07-01 |
| 1497700629 | James Robertson Price | Pharmacist | 4017 Highway 66 #7, Rogersville, TN 37857 | 2006-05-24 |
| Find all providers in zip 37857 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936235 | Milligan College | Family Medicine | One Blowers Blvd., Athletics, Milligan College, TN 37682 | 2017-07-31 |
| 1205379989 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 356 24th Ave North, Nashville, TN 37203-1519 | 2016-11-29 |
| 1770915928 | Chattanooga Sports Institute | Family Medicine | 4206 N Access Rd, Chattanooga, TN 37415-3801 | 2013-07-30 |
| 1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
| 1265687917 | Chattanooga Family and Sports Medical Center, Pllc | Family Medicine | 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 2008-11-21 |
| 1053326876 | Laura N. Lendermon | Family Medicine | 9950 Crooked Creek Drive, Collierville, TN 38017 | 2006-07-30 |
| 1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
| 1003881061 | Bill Moore Smith Jr. | Family Medicine | 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 | 2006-02-22 |
| 1700860988 | James Norris Johnson | Family Medicine | 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 | 2005-12-01 |
| 1982690038 | Sports Care of Chattanooga Pllc | Family Medicine | 501 Houston St, Chattanooga, TN 37403-3409 | 2005-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 37857 |
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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.