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Crystal Clark

Driver • Blacksburg, VA

Active NPI 1477213619 Individual Practitioner Female Practitioner
Practice location in NPPES

3700 S Main St
Blacksburg, VA 240607017

Call 5409511111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3700 S Main St

Blacksburg, VA 240607017

Telephone 5409511111
Organization at the Same NPPES Address or Phone
River Valley Pathology, Inc. Facility NPI 1629077128

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Blacksburg and Virginia

2 active clinicians are listed under Driver with a practice address in Blacksburg, VA (641 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-29
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES VA A69874069

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

28 listed
NPI 1770819294

Doctor of Medicine (M.D.)

Aja Buhler , FNP

Nurse Practitioner - Family

NPI 1457705741

Family Nurse Practitioner

Dr. Joseph Cacioppo , DO

Emergency Medicine - Emergency Medical Services

NPI 1093743817

Doctor of Osteopathic Medicine (D.O.)

Dr. Erin Caldwell , DO

Internal Medicine

NPI 1972824068

Doctor of Osteopathic Medicine (D.O.)

Dennis Cotellese , NP

Nurse Practitioner

NPI 1922173327

Nurse Practitioner

NPI 1831848506

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated December 29, 2021.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2022 to August 2026.

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NPI Administrative Meta

NPI Number: 1477213619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2021
Last Update: December 29, 2021
Sole Proprietor: Yes

Mailing Address

506 Essex Ct # 1

Blacksburg, VA 240606464

Phone: 8044297185

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.