Individual provider Active NPI

Virginia L. J. Crandall, RN

  • Community Health Registered Nurse
  • Spring Hill, FL
National Provider Identifier
1336288760
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN1866392 Issued in FL
Practice address
7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Phone
(352) 540-3812
Fax
(352) 688-5097
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN1866392 FL Primary

Addresses

Primary practice location

7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437

Mailing address

7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Phone (352) 540-3812

Other identifiers 1

IdentifierTypeStateIssuer
310493100MedicaidFL

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1866392FLMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1336288760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 FOREST OAKS BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062437",
            "telephone_number": "352-540-3812",
            "fax_number": "352-688-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 FOREST OAKS BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062437",
            "telephone_number": "352-540-3812",
            "fax_number": "352-688-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "VIRGINIA",
        "middle_name": "L. J.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN1866392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310493100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.