Sandra Gail Crow, PTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

PTA 1862 Issued in AR

Practice address

412 E Faulkner St
El Dorado, AR 71730-5802

Phone

(870) 881-4677

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ruthie Gibson

  • Local Education Agency (LEA)
  • El Dorado, AR
  • NPI 1770784886
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1265674501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W BLOCK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305355",
            "telephone_number": "870-864-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305802",
            "telephone_number": "870-881-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "SANDRA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AR",
            "license": "PTA 1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145351721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gortrell Cox
• Candace Suzanne Crawford, PHARM.D.
• Alice Jean Crawley, PT
• Creative Housing III-Mt Holly
• Creative Housing III-Newton
• CSS Healthcare, LLC
• Ken J Cunningham, LPN
• Mark Alan Cunningham, M.D.
• Daniel D Cyphers, DDS
• D'Orsay D. Bryant, III, MD, PA

• Community Health Worker in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Community Health Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.