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CRYSTAL LYNN MICK PMHNP-BC NPI 1801566054


NPI Information

NPI: 1801566054
Provider Name: CRYSTAL LYNN MICK, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
523 W SHERIDAN AVE
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-0159
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Crystal Lynn Mick, PMHNP-BC is a psychiatric/mental health nurse practitioner in Shenandoah, IA with 3 years of experience. Crystal Lynn Mick, PMHNP-BC NPI is 1801566054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

523 W SHERIDAN AVE
SHENANDOAH, IA
ZIP 51601-705
Phone: (712) 246-0159

The NPI 1801566054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2021 and was last updated on 3/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse141195IOWANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthG168071IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.