Crystal Shamblin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2043159 Issued in KY

Practice address

178 Private Road 19423
South Point, OH 45680-8831

Phone

(606) 331-0643

NPI assigned

Jul 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1780363978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 STATE ROUTE 141",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388487",
            "telephone_number": "606-331-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 PRIVATE ROAD 19423",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808831",
            "telephone_number": "606-331-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "2043159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Rose Schoolcraft
• Lucinda Schroeder, MSW, LSW
• Sydney Marie Schulok
• Erica Kaitlyn Schuster, MD
• Cherri Lynn Sewell, APRN
• Shield Roofing & Construction, LLC
• Jordan Shumate
• Stanley Winfred Simmons Jr, RN
• Ronald Gene Sims, SPECIALIZED M.S.
• Kelly Nicole Slater, O.D.

• Licensed Practical Nurse in South Point, OH
• Providers in South Point, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.