CRYSTAL JANE ANDREWS (NPI# 1962921411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962921411 |
| Entity Type | Individual |
| Full Name | CRYSTAL JANE ANDREWS |
| Practice Address |
628 S Cowley St Spokane WA 99202-1377 |
| Mailing Address |
628 S. Cowley St. Spokane WA 99202 |
| Practice Telephone | (509) 624-3227 |
| Mailing Telephone | 5096243227 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
CO60717035 | WA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE REGISTRATION | CO60717035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947800 | Crystal Lynn Andrews | Family Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2020-09-18 |
| 1265933691 | Crystal Andrews | Licensed Vocational Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-02-21 |
| 1518383751 | Crystal Andrews | Case Manager/Care Coordinator | 1551 Forum Pl, West Palm Beach, FL 33401-2319 | 2014-03-12 |
| 1730523614 | Crystal H Andrews | Nurse Practitioner | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2013-04-23 |
| 1215292180 | Crystal Lynn Andrews | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2012-07-06 |
| Street Address |
628 S COWLEY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073534228 | Daybreak Youth Services | Clinic/Center | 628 S Cowley St, Spokane, WA 99202 | 2006-07-22 |
| 1245866037 | Sheridan Sage Arntzen | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2020-03-12 |
| 1447899919 | Sheenna Lee Mcadoo | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2020-01-02 |
| 1962057851 | Julia Lillian Montiel | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2019-08-07 |
| 1295392314 | Sharon A Olson | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2019-05-23 |
| 1346715976 | Shawna Marie Usher | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-10 |
| 1639644842 | Daybreak Youth Services | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-04 |
| 1215402441 | Erandy Trejo Montiel | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-03 |
| 1790269884 | Candace Judd | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-09-24 |
| 1659858462 | Fabiola B Vidrios | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992183685 | Felicia Cassandra Reineman | Substance Abuse Rehabilitation Facility | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2015-05-13 |
| 1194118539 | New Developed Nations, LLC | Substance Abuse Rehabilitation Facility | 631 S Richard Allen Ct, Spokane, WA 99202-2345 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679765226 | Kitsap County Juvenile Department | Substance Abuse Rehabilitation Facility | 1338 Sw Old Clifton Rd, Port Orchard, WA 98367-9113 | 2007-08-16 |
| 1427266386 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 11729 36th Ave Ne, Seattle, WA 98125 | 2007-05-21 |
| 1548478001 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-18 |
| 1134292501 | Lakeside Recovery Centers Inc | Substance Abuse Rehabilitation Facility | 12845 Ambaum Blvd Sw, Seattle, WA 98146 | 2006-11-15 |
| 1184158750 | The Healing Lodge of The Seven Nations | Substance Abuse Rehabilitation Facility | 5600 E 8th Ave, Spokane Valley, WA 99212-0220 | 2017-04-20 |
| 1578008462 | Evergreen Recovery Center | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201-3309 | 2016-12-30 |
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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.