Crystal Waller

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

PN141935 Issued in OH

Legal business name

CRYSTAL WALLER

Practice address

3040 Charles Carr PL
Cleveland, OH 44104-4106

Phone

(216) 609-9421

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Crystal Michelle Waller

Title

LPN

Phone

(216) 609-9421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1417365347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 CHARLES CARR PL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441044106",
            "telephone_number": "216-609-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 CHARLES CARR PL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441044106",
            "telephone_number": "216-609-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL WALLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "216-609-9421"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "PN141935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Cruz, D.O.
• Elizabeth Cruz, QMHS
• Marinelly Cruz
• Nayda Cruz
• Viviana Cruz
• Susan Csank
• Heather Ann Csokmay, CT
• Kelly Jean Csoltko, RN, MSN, FNP-C
• Maria Cristina Cuartas Mesa, M.D
• Sherry Cucci, A.A

• Nursing Care Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nursing Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.