Active NPI
Crystal Arnold Niedermeyer, L.M.T
- Contractor
- Central Point, OR
National Provider Identifier
1710267737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 12254
- Practice address
- 312 Oak St
Central Point, OR 97502-2399 - Phone
- (541) 326-8132
- NPI assigned
- Aug 22, 2011
- Last updated
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 12254 | OR | Primary |
Addresses
Primary practice location
312 Oak St
Central Point, OR 97502-2399
Mailing address
2693 Willow Way
Medford, OR 97501-3856
Phone (541) 326-8132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12254 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1710267737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2693 WILLOW WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013856",
"telephone_number": "541-326-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 OAK ST",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022399",
"telephone_number": "541-326-8132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDERMEYER",
"first_name": "CRYSTAL",
"middle_name": "ARNOLD",
"name_prefix": "Mrs.",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "12254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Point, OR
- Steven A Nelson, DDS
- Chloe Anh Nguyen
- Nhi Opco Central Point Or, LLC (Pear Valley Senior Living)
- Nicholas Senior Services, Inc. (Home Instead Senior Care)
- Neil Nicholson
- Northwest Hospice, LLC (Signature Healthcare at Home)
- Monique Anntoinette Noyes, FNP NP-PP
- Joey Marie Nunnelee
- Nicole Nygren, LMT
- Janelle Oberle, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.