Bobbi Ann-Marie Crandell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

16941 N Eagle River Loop Rd Ste 3
Eagle River, AK 99577-7824

Phone

(190) 772-6533

NPI assigned

Jun 4, 2018

Last updated

Jun 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1093207102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16802 PARK PLACE ST APT 4",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777859",
            "telephone_number": "907-884-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16941 N EAGLE RIVER LOOP RD STE 3",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777824",
            "telephone_number": "190-772-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "BOBBI",
        "middle_name": "ANN-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Coverdell, M.D.
• Lubov M Coverdell, M.D.
• Steven Covington
• Kathleen Anne Crafton, AGNP-BC
• Alaina Cramer
• Mikaela Lea Mary Cress
• Lesley Dixon Creswell
• Joshua Ryan Cronan, LMT
• Anne Gayle Crowell, RPH
• Jonathan Cuddy

• Behavior Technician in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.