MRS. CRYSTAL EDWARDS (NPI# 1992795041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992795041 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL EDWARDS |
| Credential | P.A.-C |
| Practice Address |
4390 Fayetteville Rd Lumberton NC 28358-2677 |
| Practice Telephone | 9107387154 |
| Practice Fax Number | 9107384455 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103768 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 02703 | 01 |
| NC | 8941520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154338 | Crystal Edwards | Massage Therapist | 2718 Medgar Evers Blvd, Jackson, MS 39213-7257 | 2020-04-30 |
| 1205335064 | Crystal Edwards | Counselor | 903 W Lincoln Ave, Charleston, IL 61920-2413 | 2018-02-07 |
| 1528449212 | Crystal Lavonne Edwards | Community/Behavioral Health | 11010 W Madison St, Avondale, AZ 85323-3340 | 2015-06-18 |
| 1336304278 | Crystal Hayse Edwards | Massage Therapist | 1469 33rd Cir Se, Rio Rancho, NM 87124-1915 | 2008-07-21 |
| 1336799907 | Crystal Edwards | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-09-16 |
| 1356907422 | Crystal Sue Edwards | Social Worker | 133 E Swanson Ave, Wasilla, AK 99654 | 2019-05-14 |
| 1639633134 | Crystal J Edwards | Speech-Language Pathologist | 965 Fisher Rd, Many, LA 71449-3819 | 2019-01-29 |
| 1346763018 | Crystal Kay Edwards | Counselor | 117 W Medical Ct, Marion, NC 28752-5590 | 2017-07-25 |
| 1225400260 | Crystal Edwards | Occupational Therapist | 38 W 32nd St Ste 604, New York, NY 10001-3884 | 2015-10-29 |
| 1760742969 | Crystal L Edwards | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2012-05-22 |
| Street Address |
4390 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215477369 | Emily Lopes Townsend | Physician Assistant | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2017-03-07 |
| 1922043629 | Southeastern Dermatological Clinic, Pa | Dermatology | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2006-06-17 |
| 1578503868 | Jennifer Hunnicutt Taylor | Physician Assistant | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2006-06-07 |
| 1740246115 | Andrew Adam Hendricks | Dermatology | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1265821995 | Randal Mclean | Physician Assistant | 5080 Kahn Dr, Lumberton, NC 28358-2302 | 2015-01-19 |
| 1366831067 | Jordan Michael Andrews | Physician Assistant | 4843 Pinedale Blvd, Lumberton, NC 28358-2101 | 2015-01-19 |
| 1174740138 | Clyde A Epps | Physician Assistant | 450 Country Club Road, Lumberton, NC 28360-9494 | 2007-04-19 |
| 1932278876 | Charles Edwin Huggins | Physician Assistant | 209 W 27th St, Lumberton, NC 28358-3016 | 2006-11-07 |
| 1982697355 | Arbus E. Locklear Jr. | Physician Assistant | 309 N Roberts Ave, Lumberton, NC 28358-5383 | 2005-08-31 |
| 1699305060 | Jacklynn Lindsey Hunt | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2020-01-24 |
| 1972143717 | Vasiliki Lambropoulos | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-01-09 |
| 1679115547 | Jayci Harrison | Physician Assistant | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2019-10-12 |
| 1447724430 | Courtney Paige Bradford | Physician Assistant | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2019-01-14 |
| Find all providers in LUMBERTON | ||||
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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.