Individual provider Active NPI

Yvonne Crawford, LPN

  • Licensed Practical Nurse
  • Williamstown, WV
National Provider Identifier
1265039739
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
10466 Issued in WV
Practice address
1307 Williamstown Pike
Williamstown, WV 26187-8168
Phone
(304) 455-2757
Fax
(305) 455-8683
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
10466WVMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10466 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

1307 Williamstown Pike
Williamstown, WV 26187-8168

Mailing address

1307 Williamstown Pike
Williamstown, WV 26187-8168
Phone (304) 455-2757

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2020.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1265039739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WILLIAMSTOWN PIKE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261878168",
            "telephone_number": "304-455-2757",
            "fax_number": "305-455-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WILLIAMSTOWN PIKE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261878168",
            "telephone_number": "304-455-2757",
            "fax_number": "305-455-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "YVONNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "10466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.