Active NPI
Crystal Seals-Jenkins
- Case Manager/Care Coordinator
- Richmond, VA
National Provider Identifier
1124415633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 1025387
- Practice address
- 3323 Woodrow Ave
Richmond, VA 23222-2720 - Phone
- (804) 338-8216
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 1025387 | VA | Primary |
Addresses
Primary practice location
3323 Woodrow Ave
Richmond, VA 23222-2720
Mailing address
3323 Woodrow Ave
Richmond, VA 23222-2720
Phone (804) 338-8216
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1025387 | VA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1124415633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 WOODROW AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232222720",
"telephone_number": "804-338-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3323 WOODROW AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232222720",
"telephone_number": "804-338-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALS-JENKINS",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "VA",
"license": "1025387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.