CRYSTAL MARIE CMEYLA NPI 1083256382

NPI Information

NPI: 1083256382
Provider Name: CRYSTAL MARIE CMEYLA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
701 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 522-4880
Get Directions

Crystal Marie Cmeyla is a family nurse practitioner in Greenville, SC with 5 years of experience. Crystal Marie Cmeyla NPI is 1083256382. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 GROVE RD
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 522-4880
Fax: (864) 522-4885

The NPI 1083256382 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 10/8/2019 and was last updated on 8/9/2023.

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
1	208000000X	Pediatrics		23067	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	23067	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP6290	MEDICAID	SOUTH CAROLINA
2	NP2690	MEDICAID	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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