Crystal Lynn Tackaberry, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN283947 Issued in OH

Practice address

20025 Lunn Rd
Strongsville, OH 44149-4925

Phone

(440) 572-7069

Fax

(440) 572-7107

NPI assigned

Feb 14, 2014

Last updated

Feb 14, 2014By the provider in NPPES

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

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": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1346664000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20025 LUNN RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494925",
            "telephone_number": "440-572-7069",
            "fax_number": "440-572-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20025 LUNN RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494925",
            "telephone_number": "440-572-7069",
            "fax_number": "440-572-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKABERRY",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "RN283947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Celeste Sutherland
• Kelly Nye Sutherland, PT
• Izumi Suzuki, MD
• Michelle Svoboda
• Kristin Elizabeth Swihart, MSW, LISW-S
• Eman Tadros, MS MFT
• Dominic Wai-Ho Tam, M.D
• Rose Chun Wah Tam, M.D.
• Kimberly Angela Tanner, FNP
• Gulnara Tarpe, DO

• School Registered Nurse in Strongsville, OH
• Providers in Strongsville, OH by specialty
• School Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.