CHRYSTAL PECOT (NPI# 1942816574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942816574 |
| Entity Type | Individual |
| Full Name | CHRYSTAL PECOT |
| Practice Address |
4110 Redwood Rd Ste 101 Oakland CA 94619-2370 |
| Practice Telephone | 5102418303 |
| Mailing Telephone | 5102418303 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 23721 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4110 REDWOOD RD STE 101 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1144829755 | Amara Catherine Irizarry | Massage Therapist | 1732 50th Ave Apt 4, Oakland, CA 94601-5354 | 2020-10-23 |
| 1477151256 | Denisha Lockett | Massage Therapist | 1 Clara Ct, Oakland, CA 94603-2160 | 2020-10-13 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| 1356948350 | Thecla Daniel | Massage Therapist | 4529 Thompson St, Oakland, CA 94601-4742 | 2020-10-03 |
| 1437756640 | Aaron Strong | Massage Therapist | 4000 Foothill Blvd, Oakland, CA 94601-4239 | 2020-10-01 |
| 1639784002 | Terry Ann Dubner | Massage Therapist | 85 Long Hill Rd, Oakland, NJ 07436-2502 | 2020-09-12 |
| 1790390391 | Rachel Suen | Massage Therapist | 646 Kennedy St Apt 210, Oakland, CA 94606-5323 | 2020-09-10 |
| 1275148033 | Hans Olaf Dietze | Massage Therapist | 6801 Skyline Blvd, Oakland, CA 94611-6101 | 2020-09-09 |
| 1841804523 | Meeka Schmalle | Massage Therapist | 24 Coolidge Ter, Oakland, CA 94602-3437 | 2020-09-01 |
| 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.