Individual provider Active NPI

Crystle Syon'Tze Malone, MS, PBSS

  • Case Manager/Care Coordinator
  • El Dorado, AR
National Provider Identifier
1467749002
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2998 Smackover Hwy
El Dorado, AR 71730-8366
Phone
(870) 440-7884
NPI assigned
Jul 4, 2011
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AR Primary

Addresses

Primary practice location

2998 Smackover Hwy
El Dorado, AR 71730-8366

Mailing address

2998 Smackover Hwy
El Dorado, AR 71730-8366
Phone (870) 440-7884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1467749002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 SMACKOVER HWY",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308366",
            "telephone_number": "870-440-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 SMACKOVER HWY",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308366",
            "telephone_number": "870-440-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "CRYSTLE",
        "middle_name": "SYON'TZE",
        "name_prefix": "Ms.",
        "credential": "MS, PBSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.