Individual provider Active NPI

Madeliene Louise Crankshaw, RBT

  • Behavior Technician
  • Salt Lake City, UT
National Provider Identifier
1023602455
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
525 E 4500 S Ste F220
Salt Lake City, UT 84107-3150
Phone
(801) 771-0273
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X UT Primary

Addresses

Primary practice location

525 E 4500 S Ste F220
Salt Lake City, UT 84107-3150

Mailing address

6751 S Arrow Wood CT
West Jordan, UT 84081-5341
Phone (435) 760-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1023602455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 S ARROW WOOD CT",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815341",
            "telephone_number": "435-760-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 4500 S STE F220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073150",
            "telephone_number": "801-771-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANKSHAW",
        "first_name": "MADELIENE",
        "middle_name": "LOUISE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.