CRYSTAL HERRERA
NPI 1609628510
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since April 03, 2024PECOS Enrolled
1075 JESSE JEWELL PARKWAY SE, GAINESVILLE, GA 30501(770) 219-5407(770) 219-7102 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Herrera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL HERRERA (NPI 1609628510) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609628510
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL HERRERA
Location Address1075 JESSE JEWELL PARKWAY SEGainesville, GA 30501
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Fax(770) 219-7102
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 1, 2024
NPI 1609628510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1075 JESSE JEWELL PARKWAY SE, Gainesville, GA 30501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Crystal Herrera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1075 JESSE JEWELL PARKWAY SE
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1075 JESSE JEWELL PARKWAY SE
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Herrera's NPI number?

The NPI number for Crystal Herrera is 1609628510. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Crystal Herrera located?

Crystal Herrera practices at 1075 Jesse Jewell Parkway SE, Gainesville, GA 30501. The listed phone number is (770) 219-5407.

What is Crystal Herrera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Crystal Herrera enrolled in Medicare?

Yes. Crystal Herrera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Herrera was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.