KRYSTAL MARIE SMITH (NPI# 1902188188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902188188 |
| Entity Type | Individual |
| Full Name | KRYSTAL MARIE SMITH |
| Practice Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 5104822244 |
| Practice Fax Number | 5105302047 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5105302047 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611821 | Krystal Smith | Counselor | 13 Hasbrouck Dr Apt E, Garnerville, NY 10923-1644 | 2020-08-28 |
| 1225641541 | Krystal Smith | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2020-08-26 |
| 1992331573 | Krystal Nicole Smith | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2020-03-16 |
| 1801366448 | Krystal Smith | Behavior Technician | 1106 Windfield Way Ste 1, El Dorado Hills, CA 95762-9360 | 2018-11-27 |
| 1437689338 | Krystal Smith | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G239, Richmond, CA 94806-5848 | 2017-06-14 |
| 1568917458 | Krystal Smith | Social Worker | 700 19th St S, Birmingham, AL 35233-1927 | 2016-08-20 |
| 1265829949 | Krystal Smith | Day Training/Habilitation Specialist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2015-04-21 |
| 1366775371 | Krystal Lashun Smith | Social Worker | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2009-09-09 |
| 1447489638 | Krystal S Smith | Radiology | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-08 |
| 1104994425 | Krystal Smith | Specialist/Technologist | 1000 Spring Garden St., 136 Hhp Building, Uncg Athletics, Greensboro, NC 27402-6168 | 2006-12-04 |
| Street Address |
3800 COOLIDGE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780627687 | Margarita Colon | Counselor | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2006-06-14 |
| 1962013722 | Sabrina Eugster | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-08-13 |
| 1174134233 | Dennis Carl Mccollins Jr. | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3399 | 2020-08-12 |
| 1649889346 | Sarah Marta Pierluissi | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-28 |
| 1558970392 | Danielle Kristen Zelinsky | Social Worker | 3800 Coolidge Ave, Oakland, CA 94602-3399 | 2020-07-28 |
| 1932717295 | Ashley Elizabeth Siddiqui | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-22 |
| 1013525682 | Olivia Rose Hardt | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-20 |
| 1922626183 | Sara Lynn Estrada | Counselor | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-13 |
| 1841818093 | Christihannah Catherine Carmans | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-07-13 |
| 1003438219 | Mary Ellen Palmer | Student in an Organized Health Care Education/Training Program | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
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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.