Crystal Williams, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

78350 Issued in TX

Practice address

BLDG #9440 Battalion Ave
Fort Hood, TX 76544

Phone

(254) 287-6710

NPI assigned

Sep 1, 2016

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

Other names 1

• Crystal Donahue Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1225585797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BAILEY ST APT 1",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765442021",
            "telephone_number": "936-241-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG #9440 BATTALION AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CRYSTAL",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "TX",
            "license": "78350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DONAHUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Maureen Wilcox Boynton, LMSW
• William B. Purcell O.D.
• Kristin Williams-Washington, PSY.D.
• Corey Antonio Williams, LCSW
• Croshawnda Aleshia Williams, RN
• Nicole Shuntay Williams, LVN
• Ricki Williams, CNA
• Stephanie Williams, LCSW
• Stephanie Cecanti Williams, LICENSE VOCATIONAL N
• Tammie Williams

• Dental Assistant in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dental Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.