Active NPI
Crystal Marie Eimer, CNA
- Home Health Aide
- Glendale, AZ
National Provider Identifier
1326697210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 854851329
- Practice address
- 10234 N 52ND Dr
Glendale, AZ 85302-1604 - Phone
- (602) 628-8295
- Fax
- (623) 249-7314
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 854851329 | AZ | Primary |
Addresses
Primary practice location
10234 N 52ND Dr
Glendale, AZ 85302-1604
Mailing address
10234 N 52ND Dr
Glendale, AZ 85302-1604
Phone (602) 628-8295
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
| License | State | Type | Specialty |
|---|---|---|---|
| 854851329 | AZ | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1326697210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10234 N 52ND DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021604",
"telephone_number": "602-628-8295",
"fax_number": "623-249-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10234 N 52ND DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021604",
"telephone_number": "602-628-8295",
"fax_number": "623-249-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIMER",
"first_name": "CRYSTAL",
"middle_name": "MARIE",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AZ",
"license": "854851329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.