Individual provider Active NPI

Cristafer A Neal

  • Meals Provider
  • North Olmsted, OH
National Provider Identifier
1053093864
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
License
RR977166 Issued in OH
Practice address
4379 Silverdale Rd
North Olmsted, OH 44070-2620
Phone
(216) 319-9671
NPI assigned
Aug 1, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X RR977166 OH
Meals Provider 174200000X RR977166 OH Primary

Addresses

Primary practice location

4379 Silverdale Rd
North Olmsted, OH 44070-2620

Mailing address

4379 Silverdale Rd
North Olmsted, OH 44070-2620
Phone (216) 319-9671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RR977166OHMDDriver

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1053093864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 SILVERDALE RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702620",
            "telephone_number": "216-319-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 SILVERDALE RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702620",
            "telephone_number": "216-319-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "A NEAL",
        "first_name": "CRISTAFER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": "OH",
            "license": "RR977166",
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "OH",
            "license": "RR977166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.