Crystal Lynn Foreman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

117819 Issued in WV

Practice address

1111 Van Voorhis Rd
Morgantown, WV 26505-0643

Phone

(304) 598-8900

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1053130989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SHADY GROVE ESTS",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265259307",
            "telephone_number": "304-276-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050643",
            "telephone_number": "304-598-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "117819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Ford, CCC, SLP
• Virginia Lynn Ford, FNP-C
• Larissa Janette Fordyce-Richards, M.D.
• Brielle Fordyce, M.S., SLP
• Grace Foreback, PLPC
• Elizabeth Francis Forester
• Shanece Eden Lynn Forge, LPC
• Melissa Lynn Forman
• Stacy L Forst, PA-C
• Justin Chew Forsyth, MB, BCH, BAO

• Registered Nurse in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.