Theresa Marie Crisler, LMT, BSW, MS

Primary specialty

SpecialistTaxonomy code 174400000X

License

KY-0001 Issued in KY

Practice address

545 Lebanon Church Rd
Suite B
Paducah, KY 42003-9383

Phone

(270) 554-6789

Fax

(270) 554-3429

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1215120332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 LEBANON CHURCH RD",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039383",
            "telephone_number": "270-554-6789",
            "fax_number": "270-554-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 LEBANON CHURCH RD",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039383",
            "telephone_number": "270-554-6789",
            "fax_number": "270-554-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISLER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT, BSW, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY-0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Thomason Crice, PTA
• Frank Crider, A.R.N.P
• Kimberly B Crider
• Lesley Crider
• David Crim
• Emily Crisp
• Kassandra Pearl Criswell, NP
• Sherry L Crittendon, ARNP
• Kristy Croft
• Reagon Cross

• Specialist in Paducah, KY
• Providers in Paducah, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.