Crystal Dawn Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

455 K St
Crescent City, CA 95531-4107

Phone

(707) 464-3191

Fax

(707) 464-7169

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of del Norte

  • Public Health or Welfare Agency
  • Crescent City, CA
  • NPI 1497872063
  NPD

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1063292803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 L ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314114",
            "telephone_number": "707-464-3191",
            "fax_number": "707-464-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 K ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314107",
            "telephone_number": "707-464-3191",
            "fax_number": "707-464-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Job Paul Silva
• Cheryl A Simons, MA MFT
• Stacie Ann Slattery, AMFT131751
• Julie Smiley
• Claudia C Smith, LCSW
• Gregg Lewis Smith, MD
• William Patrick Smith, CRNA
• Mara E Snider, MA
• Heather Snow, LCSW
• Soft Tissue and Myofascial Treatment Inc (Myofascial Treatment Center)

• Case Manager/Care Coordinator in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.