Crystal Ann Nebeker, C.D.P., CADC I, B.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

09-09-37 Issued in OR

Practice address

9111 NE Sunderland Ave
Portland, OR 97211-1708

Phone

(503) 280-6646

Fax

(360) 280-6081

NPI assigned

Mar 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1346565801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 NE SUNDERLAND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111708",
            "telephone_number": "503-280-6646",
            "fax_number": "503-280-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 NE SUNDERLAND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111708",
            "telephone_number": "503-280-6646",
            "fax_number": "360-280-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEKER",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "C.D.P., CADC I, B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-28",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60130440",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "09-09-37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Nealon, D.C.
• Maximiliano Nealon
• Mickey Anne Nearhood, RDH
• Rhys Neary-Hills
• Timothy James Neary, PSY.D
• Abbie Jo Nederhoed, LCSW
• Meklit Worku Nedi
• Erin Needham, MA
• Jacob Needham, BA
• Jennifer S Needle-Suarez, MD

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.