Crystal Lynn Hein, CERTIFIED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0053821 Issued in NY

Practice address

420 E German St
# 103A
Herkimer, NY 13350-1042

Phone

(315) 717-2202

Fax

(800) 892-4959

NPI assigned

Oct 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Crystal Lynn Wilkins Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Binghamton, NY
  • NPI 1316088941
  NPD

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1609055201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E GERMAN ST",
            "address_2": "# 103A",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501042",
            "telephone_number": "315-717-2202",
            "fax_number": "800-891-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E GERMAN ST",
            "address_2": "# 103A",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501042",
            "telephone_number": "315-717-2202",
            "fax_number": "800-892-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIN",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0053821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04800005382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WILKINS",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marissa Hajec, DPT
• Dennis Halpin, DPT
• Ward Halverson, LCSW, M.ED.
• Laura Danielle Hargrave
• David Heap, D.C.
• Herkimer Chapter,Nysarc
• Herkimer Cornerstone, LLC
• Herkimer County
• Herkimer County
• Herkimer County

• Registered Dietitian in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.