CRYSTAL LAIL MULL (NPI# 1912058462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912058462 |
| Entity Type | Individual |
| Full Name | CRYSTAL LAIL MULL |
| Credential | NNP |
| Practice Address |
420 N Center St Hickory NC 28601-5046 |
| Mailing Address |
415 N Center St Ste 203 Hickory NC 28601-5036 |
| Practice Telephone | 8283155371 |
| Mailing Telephone | 8283238281 |
| Mailing Fax Number | 8283238322 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
930108 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
420 N CENTER ST |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214605 | Shana Barkes | Speech-Language Pathologist | 420 N Center St, Hickory, NC 28601-5033 | 2020-11-01 |
| 1689294795 | Kimberly Anette Crotts | Radiologic Technologist | 420 N Center St, Hickory, NC 28601-5033 | 2020-04-18 |
| 1881229508 | John Paul Colosi | Nurse Practitioner | 420 N Center St, Hickory, NC 28601-5033 | 2020-03-04 |
| 1043876725 | Hunter Atkinson Hardaway | Physician Assistant | 420 N Center St, Hickory, NC 28601-5033 | 2019-05-17 |
| 1346736808 | Kevin Lee Lum | Registered Nurse | 420 N Center St, Hickory, NC 28601-5033 | 2018-07-09 |
| 1871084293 | John Charles Flowe | Nurse Anesthetist, Certified Registered | 420 N Center St, Hickory, NC 28601-5033 | 2018-05-21 |
| 1659891109 | Mohammad Khan | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2017-06-26 |
| 1063948008 | Gastonia Physician Services, Pllc | Emergency Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2017-05-11 |
| 1003342031 | Frye Group Services, Pllc | Hospitalist | 420 N Center St, Hickory, NC 28601-5033 | 2017-05-11 |
| 1790133171 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548303548 | Wanda Jean Powell | Nurse Practitioner | 420 North Center St, Frye Regional Medical Center, Hickory, NC 28601 | 2007-02-15 |
| 1235517830 | Andrea Flynn | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2015-05-14 |
| 1801034616 | Sherri Diane Arndt | Nurse Practitioner | 810 Fairgrove Church Road, Hickory, NC 28602 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913446 | Deveril Wint | Nurse Practitioner | 1105 Micahs Way N, Spring Lake, NC 28390-2857 | 2020-05-18 |
| 1013497312 | Elizabeth Hayes Santiago | Nurse Practitioner | 2102 Stantonsburg Rd, Greenville, NC 27834-2783 | 2018-08-16 |
| 1972050938 | Stephanie Bowman | Nurse Practitioner | Neonatal Intensive Care Unit, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-09-07 |
| 1396109526 | Emily Greene | Nurse Practitioner | Hospital North Rm 5524, Box No: 100500, Durham, NC 27710-0001 | 2016-04-13 |
| 1932561669 | Katie Horne Chamberlain | Nurse Practitioner | 2424 Erwin Rd Ste 504, Box 2739, Durham, NC 27705-3826 | 2016-03-22 |
| 1922347160 | Jennifer Denise Bowles | Nurse Practitioner | Unc School of Medicine Department Of, 101 Manning Dr., Cb #7596, Chapel Hill, NC 27599-0001 | 2013-02-07 |
| 1912251539 | Beth Abigail Meaux Connelly | Nurse Practitioner | Duke Neonatology Dumc 2739, Durham, NC 27710-8970 | 2012-11-05 |
| 1154694693 | Sarah Elizabeth Wieber Croop | Nurse Practitioner | Cb# 7596, 4th Floor, Unc Hospitals, Chapel Hill, NC 27599-7596 | 2012-02-14 |
| 1366724817 | Tara Leigh Marion | Nurse Practitioner | 6960 Siloam Rd, Siloam, NC 27047-9193 | 2011-09-11 |
| 1114255593 | Jeffrey Allen Siebert | Nurse Practitioner | 100 Brewster Blvd., Camp Lejeune, Jacksonville, NC 28547-2538 | 2009-11-24 |
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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.