Chrystal D Moore, BA
Individual provider Active NPI Case Manager/Care Coordinator · Waterbury, CT
NPI 1275965279 · NPPES record last updated Aug 1, 2013
Key facts
- NPI
- 1275965279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 141 E Main St
Waterbury, CT 06702-2310 - Phone
- (203) 574-9000
- Fax
- (203) 574-9006
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
141 E Main St
Waterbury, CT 06702-2310
Mailing address
141 East Main Street
Waterbury, CT 06702-1701
Phone (203) 574-9000
Other providers in Waterbury, CT
- Asia Montgomery
- Lorenzo Montgomery
- Holly Montpelier
- Penny Monty-Carbonari
- Caleb Moore
- Jazmen Moore
- Lawrence Moore
- Maraejah Moore
- Marvin Moore
- Rachel Moore
All providers in Waterbury, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.