Debra Lynne Crawford

Key facts

NPI

1164078184

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Vocational Nurse 164X00000X

License

188994 (CA)

Practice address

1496 N Beale Rd
Marysville, CA 95901-6205

Phone

(530) 749-8640

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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.

• American Addiction Treatment Services Inc Methadone Clinic · Marysville, CA · NPI 1275804205
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2019.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1164078184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016205",
            "telephone_number": "530-749-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016205",
            "telephone_number": "530-749-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DEBRA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "188994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

• County of Sutter
• County of Sutter
• County of Sutter
• County of Yuba
• Cathleen Marie Crawford, P.A.
• Natalie Lilian Cruz
• Megan Culberson, PA-C
• Jaspreet Singh Dahia, NP
• Shannon Diane Dalton, LVN
• Angela Renee Davis

All providers in Marysville, CA · Licensed Vocational Nurse in California