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CRYSTAL BROADHEAD
NPI 1639640501
Licensed Practical Nurse in New York, NY

Active since December 17, 2018
110 W 97TH ST, NEW YORK, NY 10025(212) 749-1820 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Broadhead NPPES

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

CRYSTAL BROADHEAD (NPI 1639640501) is an individual licensed practical nurse in New York, New York, licensed in New York (303542-1) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1639640501
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCRYSTAL BROADHEAD
Location Address110 W 97TH STNew York, NY 10025-6450
Mailing Address75 Cumberland Walk Apt 13hBrooklyn, NY 11205-2171
Phone(212) 749-1820
Sole ProprietorYes
Enumeration DateDecember 17, 2018
✔ NPI 1639640501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in NY · 303542-1✔ Licensed in NY · 303542
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
110 W 97TH ST, New York, NY 10025
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Other Providers at the Same Location NPPES 20

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

MRS. JULIE ANNE CHELOUCHE CPNP-PC, RN, CPN
Nurse Practitioner (Pediatrics)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 229-1060
PATRICIA LOFTMAN
Midwife
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 316-7923
CLAUDE LANIADO M.D
Psychiatry & Neurology (Psychiatry)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 316-7923
IMANI MARTELLY-MASDOUMIER LPN
Licensed Practical Nurse
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Clinic/Center
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
MR. BERTRAND TOULOUSE RN
Registered Nurse (General Practice)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
FERN FLECKMAN
Social Worker
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 316-7923
ALEJANDRA SOSA LPN
Licensed Practical Nurse
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820

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 Broadhead's NPI number?

The NPI number for Crystal Broadhead is 1639640501. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Crystal Broadhead located?

Crystal Broadhead practices at 110 W 97th St, New York, NY 10025. The listed phone number is (212) 749-1820.

What is Crystal Broadhead's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Crystal Broadhead was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.