Crystal Gail Friend

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

739 Penneroil Rd
New Creek, WV 26743-7131

Phone

(304) 359-0679

Fax

(304) 788-6363

NPI assigned

Dec 30, 2020

Last updated

Dec 30, 2020By 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

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1174110654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PENNEROIL RD",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267437131",
            "telephone_number": "304-359-0679",
            "fax_number": "304-788-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 PENNEROIL RD",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267437131",
            "telephone_number": "304-359-0679",
            "fax_number": "304-788-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "CRYSTAL",
        "middle_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Charity Blacka
• Kimberly Lynn Brafford
• Kristi Diane Crawford
• Lori M Didawick
• Sharon Engle
• Gina Lynn Goldizen
• Alicia Dawn Harr, FNP-BC
• Stacia Kerns
• Theodore Lease
• Kimberly Ann Michael

• Personal Care Attendant in New Creek, WV
• Providers in New Creek, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.