Crystal Icenhour, PHD

Primary specialty

Ph.D. Medical Genetics PhysicianTaxonomy code 207SG0205X

License

CLF0001793 Issued in VA

Practice address

45925 Horseshoe Dr Ste 170
Sterling, VA 20166-6609

Phone

(703) 229-0406

NPI assigned

Apr 16, 2018

Last updated

Jan 20, 2021By 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

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aperiomics, Inc.

  dba Aperiomics

  • Clinical Medical Laboratory
  • Sterling, VA
  • NPI 1255860680
  NPD Authorized official

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1699262691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45925 HORSESHOE DR STE 170",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666609",
            "telephone_number": "703-229-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45925 HORSESHOE DR STE 170",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666609",
            "telephone_number": "703-229-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICENHOUR",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0205X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "VA",
            "license": "CLF0001793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung-Mee Hwang, D.M.D
• Suvi Hyytiainen
• Claudia Vanessa Ibarra Cortez
• Caroline Ibrahim, PSY.D.
• Ibwii Group LLC (Talem Home Care & Placement Services)
• Maxine Iida, LPC
• Juan Illesca
• Aisha Imtiaz
• In-Home Healthcare Agency LLC
• Industrial Health

• Ph.D. Medical Genetics Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Ph.D. Medical Genetics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.