Crystal Renee Akeredolu

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

311 N Douty St
Hanford, CA 93230-3951

Phone

(559) 794-2720

NPI assigned

Jul 12, 2023

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

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1942989488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 HANOVER AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932454368",
            "telephone_number": "760-499-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303951",
            "telephone_number": "559-794-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKEREDOLU",
        "first_name": "CRYSTAL",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahlek Lian, D.D.S., Inc.
• Adam Ahmed Jr., PA-C
• Asmaa Ahmed, MD
• Natasha Tahir Ahmed, MD
• Zaheer Uddin Ahmed, M.D
• Fikray Alamari, DDS
• Kiara Alatorre
• Jason Albano, DDS
• Daniesha Lashay Alberty, AMFT 125214
• Ulises Alcala

• All providers in Hanford, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.