CRYSTAL ICENHOUR PHD – NPI #1699262691
Medical Genetics

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medical and dental specialists.

CRYSTAL ICENHOUR is a medical geneticist located in STERLING, VA. NPPES has assigned the NPI number 1699262691 to CRYSTAL ICENHOUR on April 16, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207SG0205X from the Health Care Provider Taxonomy code set, which is classified as Medical Genetics, specializing in Ph.D. Medical Genetics

The NPI profile was previously updated about 5 years ago on Jan 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL ICENHOUR below.

NPI Profile for
CRYSTAL ICENHOUR

NPI Number
1699262691
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CRYSTAL ICENHOUR
Credentials
PHD
Primary location
45925 HORSESHOE DR STE 170
STERLING, VA 20166-6609
Phone: (703) 229-0406 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207SG0205X
- Medical Genetics / Ph.D. Medical Genetics (Primary)
VA CLF0001793

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.