Amanda Lynne Crandell, ARNP, NNP BC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60370970 Issued in WA

Practice address

316 S I St
Tacoma, WA 98405-4212

Phone

(253) 403-1024

NPI assigned

Aug 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1053195818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 116TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983743030",
            "telephone_number": "253-426-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S I ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054212",
            "telephone_number": "253-403-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "credential": "ARNP, NNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "WA",
            "license": "AP61501078",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60370970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawndi Jean Craig, LMHCA
• Loretta Craig, FNP-C
• Phyllis Louise Craig, MSW
• Shaniya Antoinette Craig
• Jared Cram, RPH
• Kara Springer Crane, PHARMD
• Raeshelle Brianne Cranshaw
• William C Cranston, PA-C, MPAS
• Paul Craven, MD
• Kathryn Lynn Crawford

• Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.