Active NPI
Crystal Gremillion Blanchard
- Behavior Analyst
- Metairie, LA
National Provider Identifier
1992231575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-381
- Practice address
- 4201 N I 10 Service Rd W
Metairie, LA 70006-6713 - Phone
- (888) 880-9270
- NPI assigned
- May 2, 2017
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-381 | LA | Primary |
Addresses
Primary practice location
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Mailing address
500 Fairway Dr
Suite 102
Deerfield Beach, FL 33441-1814
Phone (888) 880-9270
Other names 1
- Crystal Lynn Gremillion
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 |
|---|---|---|---|
| L-381 | LA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1992231575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR",
"address_2": "SUITE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411814",
"telephone_number": "888-880-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 N I 10 SERVICE RD W",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700066713",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "CRYSTAL",
"middle_name": "GREMILLION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "GREMILLION",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.