Active NPI
Cherise Renee Crisman, ATC
- Athletic Trainer
- Troy, AL
National Provider Identifier
1073985438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 236
- Practice address
- 105 Dale Dr
Troy, AL 36079-3012 - Phone
- (334) 372-7029
- NPI assigned
- Oct 26, 2015
- Last updated
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 236 | AL | Primary |
Addresses
Primary practice location
105 Dale Dr
Troy, AL 36079-3012
Mailing address
3230 Stadium Tower
Troy, AL 36082-0001
Phone (334) 670-3721
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236 | AL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1073985438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 STADIUM TOWER",
"city": "TROY",
"state": "AL",
"postal_code": "360820001",
"telephone_number": "334-670-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 DALE DR",
"city": "TROY",
"state": "AL",
"postal_code": "360793012",
"telephone_number": "334-372-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISMAN",
"first_name": "CHERISE",
"middle_name": "RENEE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.