Crystal Adams
Individual provider Active NPI Contractor · Santaquin, UT
NPI 1114225166 · NPPES record last updated Feb 28, 2011
Key facts
- NPI
- 1114225166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 488 N 500 W
Santaquin, UT 84655-5104 - Phone
- (801) 358-6815
- Fax
- (801) 465-7980
- NPI assigned
- Feb 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
488 N 500 W
Santaquin, UT 84655-5104
Mailing address
488 N 500 W
Santaquin, UT 84655-5104
Phone (801) 358-6815
Other providers in Santaquin, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.