Active NPI
Norma Elaine Crespo, RN
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1093569733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 363343
- Practice address
- 2563 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1715 - Phone
- (404) 699-7774
- NPI assigned
- Apr 17, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 363343 | NC | Primary |
Addresses
Primary practice location
2563 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1715
Mailing address
1534 Crescent LN Apt K
Matthews, NC 28105-4695
Phone (919) 696-9223
Other names 1
- Mrs. Norma Elaine Mighty
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363343 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Day Treatment Center LLC | Single Specialty | Current | Accepting new patients |
Locations
2563 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 246-1696
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1093569733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 CRESCENT LN APT K",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054695",
"telephone_number": "919-696-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2563 MARTIN LUTHER KING JR DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303111715",
"telephone_number": "404-699-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "NORMA",
"middle_name": "ELAINE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NC",
"license": "363343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NORMA",
"last_name": "MIGHTY",
"middle_name": "ELAINE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.