Crystal Raville, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

83943601 Issued in NY

Practice address

15 4TH St
Malone, NY 12953-1340

Phone

(518) 319-0173

NPI assigned

Sep 19, 2014

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

Electronic endpoints 1

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1104228253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STONE RD",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129533431",
            "telephone_number": "518-319-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 4TH ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531340",
            "telephone_number": "518-319-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Stone Rd",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129533431",
            "country_code": "US",
            "telephone_number": "518-319-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVILLE",
        "first_name": "CRYSTAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "83943601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystalraville@citizenadvocates.net",
            "affiliation": "N",
            "address_1": "3 Stone Rd",
            "city": "Malone",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129533431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Marie Rabideau
• Norma Alice Race, R.N.
• Dorene Raimondo
• Rajiv S Shah Physician P C
• Beth Szymoniak Randall, OTR
• Marcia J Raville, LCSW-R
• Samantha Reagan
• Heather Marie Recore
• Wilfred Joseph Recore, BIS I
• Vijaya Linga Reddy, MD

• Adult Psychiatric/Mental Health Registered Nurse in Malone, NY
• Providers in Malone, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.