Crystal Lynn Woodard, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010551 Issued in IL

Practice address

108 S Garfield St
Oblong, IL 62449-1464

Phone

(618) 592-6505

Fax

(618) 592-6506

NPI assigned

Aug 16, 2006

Last updated

Oct 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Crystal Lynn Ballew Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adair Chiropractic, LLC

  • Chiropractor
  • Robinson, IL
  • NPI 1578130183
  NPD (past)
• Suiter Chiropractic, PLLC

  dba Dr. Jamie Suiter, DC

  • Chiropractor
  • Oblong, IL
  • NPI 1285583104
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1235242066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S GARFIELD ST",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491464",
            "telephone_number": "618-592-6505",
            "fax_number": "618-592-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S GARFIELD ST",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491464",
            "telephone_number": "618-592-6505",
            "fax_number": "618-592-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010551",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BALLEW",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Nichole Christine Suiter, DC
• Ashley Lynn Swingler, M.S. CCC-SLP
• Marcia Thorsen, LCPC
• Barbara Afman Wilson, LCPC
• Jodi L Wiman, MA

• Chiropractor in Oblong, IL
• Providers in Oblong, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.