OrganizationActive
Crystal Waller
NPI 1417365347 · Nursing Care Agency · Cleveland, OH
Crystal Waller is a Nursing Care Agency organization in Cleveland, OH (NPI 1417365347).
Provider details
- NPI number
- 1417365347
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Crystal Waller, LPN(216) 609-9421
- License
- PN141935 (OH)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3040 Charles Carr Pl
Cleveland, OH 44104-4106
Phone: (216) 609-9421
Street-level locationGet directions
Mailing address
3040 Charles Carr Pl
Cleveland, OH 44104-4106
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2014-07-23
Frequently asked questions
- What is Crystal Waller's NPI number?
- Crystal Waller's National Provider Identifier (NPI) is 1417365347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Waller?
- Crystal Waller is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Crystal Waller located?
- Crystal Waller's practice location on file with NPPES is 3040 Charles Carr Pl, Cleveland, OH 44104-4106.
- What is Crystal Waller's phone number?
- The practice phone number listed in the NPPES registry for Crystal Waller is (216) 609-9421.
- Who is the authorized official for Crystal Waller?
- The authorized official listed on Crystal Waller's NPPES record is Crystal Waller, LPN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Waller's NPI active?
- Yes — Crystal Waller's NPI (1417365347) is active in the NPPES registry as of the last update on 2014-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.