CRYSTAL COLE (NPI# 1972902260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972902260 |
| Entity Type | Individual |
| Full Name | CRYSTAL COLE |
| Credential | APN |
| Practice Address |
14 Lake St Oak Park IL 60302-2606 |
| Practice Telephone | 7083830113 |
| Practice Fax Number | 7083833168 |
| Mailing Telephone | 7083830113 |
| Mailing Fax Number | 7083833168 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209011659 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314551 | Crystal Cole | Social Worker | 112 W 1st St, Monticello, IA 52310-1519 | 2020-10-25 |
| 1720596430 | Crystal Lynn Cole | Early Intervention Provider Agency | 15 South St, Hudson, MA 01749-2205 | 2018-01-16 |
| 1740706068 | Crystal Cole | Occupational Therapist | 800 10th St, Snohomish, WA 98290-2131 | 2017-08-17 |
| 1629360987 | Crystal Shavaun Cole | Counselor | 6425 W 12th St, Little Rock, AR 72204-1509 | 2011-05-05 |
| 1902053408 | Crystal Jayne Cole | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-08-26 |
| Street Address |
14 LAKE ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254972 | Ralph G. Ryan | Internal Medicine | 14 Lake St, Oak Park, IL 60302-2606 | 2005-08-31 |
| 1962026005 | Kathryn Elizabeth Ryan Nutting | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2020-06-04 |
| 1972127165 | Jacqueline Marcella Greene-roper | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2020-06-03 |
| 1881215960 | Jennifer Nudo | Social Worker | 14 Lake St, Oak Park, IL 60302-2606 | 2020-04-30 |
| 1891356721 | Maryam A Syed | Registered Nurse | 14 Lake St, Oak Park, IL 60302-2606 | 2019-06-21 |
| 1962060723 | Elizabeth Jeanne Burgess | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2019-06-05 |
| 1689158271 | Pcc Community Wellness Center | Case Management | 14 Lake St, Oak Park, IL 60302-2606 | 2018-09-19 |
| 1760973515 | Leslie Smebak | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2018-05-28 |
| 1811488679 | Morgan Colleen Beatty | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2018-05-28 |
| 1104344431 | Kimberly Zoellick | Nurse Practitioner | 14 Lake St, Oak Park, IL 60302-2606 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121743 | Andrea Saunders | Nurse Practitioner | 637 Lyman Ave, Oak Park, IL 60304-1631 | 2019-08-30 |
| 1982112389 | Mind On Wellness | Nurse Practitioner | 1011 Lake St Ste 304, Oak Park, IL 60301-1138 | 2018-01-19 |
| 1366980252 | Dawn Bounds Ltd | Nurse Practitioner | 1010 Lake St, Suite 200, Oak Park, IL 60301-1147 | 2017-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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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.