MEDICARE: CRYSTAL DODSON RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN-92516	HI

General Provider Information

NPI Number	:	1538714019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL DODSON RN

Provider Business Mailing Address
First Line	:	1004 BEARD AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96818-4754
Country	:	US
Telephone Number	:	757-871-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	1004 BEARD AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96818-4754
Country	:	US
Telephone Number	:	757-871-1930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	08/02/2019

Similar Medicare Providers

1053310771 — ARCADIA RETIREMENT RESIDENCE
Practice Location Address:

1434 PUNAHOU ST
HONOLULU, HI
96822-4754

Practice Phone: 808-941-0941
Practice Fax:

1073892055 — BRIGHTON REHABILITATION, LLC
Practice Location Address:

1434 PUNAHOU ST
HONOLULU, HI
96822-4754

Practice Phone: 801-941-0941
Practice Fax: 808-949-4965

1518635747 — ABBY DAVIS
Practice Location Address:

1434 PUNAHOU ST
HONOLULU, HI
96822-4754

Practice Phone: 314-660-9525
Practice Fax:

1730835794 — RACHEL CLAIRE JOHNSON
Practice Location Address:

1434 PUNAHOU ST
HONOLULU, HI
96822-4754

Practice Phone: 808-941-0941
Practice Fax:

1841141959 — AMANDA TUNIN
Practice Location Address:

2818 ANDERSON AVE
HONOLULU, HI
96818-6208

Practice Phone: 808-944-2882
Practice Fax:

1831186998 — MRS. MARY PORTERFIELD JOHNSON RN
Practice Location Address:

4515 PRINCETON PL
HONOLULU, HI
96818-5044

Practice Phone: 808-455-5981
Practice Fax:

Directions to “ CRYSTAL DODSON RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.