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Crystal E.Nickerson, LLC

Crystal E.Nickerson, LLC is a healthcare organization registered as Respite Care in Greensboro, NC, holding Type 2 (organization) NPI 1932479045 since 2012. The authorized official on file is Crystal Nickerson, Director.

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NPI 1932479045
Entity type Organization (Type 2)
Legal business name Crystal E.Nickerson, LLC
Other name <Unavail>
Practice address 2302 W MEADOWVIEW RD, SUITE 228, BOX 24, Greensboro, NC, 27407
Phone 3366170764
Fax 3366170964
Enumeration date 2012-01-05
Last updated in NPPES 2012-01-05

Authorized official

Name Crystal Nickerson
Title Director
Phone 3366170764

Taxonomy & classification

Taxonomy code Specialty Primary License State
385H00000X Respite Care Primary

Other identifiers

Identifier Type State Issuer
3418853 Medicaid NC
8702219 Medicaid NC
Copy-ready billing details
Provider: Crystal E.Nickerson, LLC
NPI: 1932479045
Taxonomy: 385H00000X (Respite Care)
Address: 2302 W MEADOWVIEW RD, SUITE 228, BOX 24, Greensboro, NC, 27407

Providers at this address

NPI Name Type Specialty Location
1336318682 Keisha Sloane Individual Professional Counselor Greensboro, NC
1275776288 Cnc Access Inc. Organization Community/Behavioral Health Agency Greensboro, NC
1043453863 Cnc Access Inc Organization Community/Behavioral Health Agency Greensboro, NC
1952544777 Cnc Access Inc Organization Community/Behavioral Health Agency Greensboro, NC
1063655173 Cnc Access Inc Organization Community/Behavioral Health Agency Greensboro, NC
1871736983 Cnc Access Inc Organization Community/Behavioral Health Agency Greensboro, NC
1447493556 Cnc Access Inc Organization Community/Behavioral Health Agency Greensboro, NC
1346483450 Cnc Access Inc Organization Community/Behavioral Health Agency Greensboro, NC

Verify this record

Cross-check NPI 1932479045 against the authoritative CMS record: view Crystal E.Nickerson, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Crystal E.Nickerson, LLC?
NPPES lists Crystal Nickerson (Director) as the authorized official for this organization.
What is the NPI number for Crystal E.Nickerson, LLC?
The NPI for Crystal E.Nickerson, LLC is 1932479045, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-05.