Crystal Lee Neely, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

140864 Issued in OH

Practice address

1440 Lexington Dr
Vermilion, OH 44089

Phone

(440) 320-4335

NPI assigned

May 31, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Crystal Lee Mowry 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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1245677137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LEXINGTON DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891558",
            "telephone_number": "440-320-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 LEXINGTON DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-320-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Sanford St",
            "address_purpose": "LOCATION",
            "city": "Vermilion",
            "state": "OH",
            "postal_code": "440891552",
            "country_code": "US",
            "telephone_number": "440-320-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.140864.MEDS-IV",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "LPN.140864.MEDS-IV",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "140864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "MOWRY",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Moyer
• Mr Chohan, M.D.
• Joshua Augustine Muetzel, MD
• Samuel Muhammad Jackson
• Mecca Muhammad
• Emily Nehls
• Maziar A Nejad, D.C.
• Eric Nelson
• Michael Lee Newsome
• Nicholas Kochenour DMD MSD LLC

• Licensed Practical Nurse in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.