Dawnrene' Crisostomo, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN00128211 Issued in WA

Practice address

9040 Jackson Blvd Family Medicine Cardinal/Swan
Tacoma, WA 98431-0001

Phone

(253) 968-4126

Fax

(253) 968-2826

NPI assigned

Jan 21, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1346992278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON BLVD FAMILY MEDICINE CARDINAL/SWAN",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-4126",
            "fax_number": "253-968-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON BLVD FAMILY MEDICINE CARDINAL/SWAN",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-4126",
            "fax_number": "253-968-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "DAWNRENE'",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00128211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Cretzu, PMHNP-BC
• Laura Crews, R.N.
• Lieu Crews
• Theodore Crisostomo-Wynne, MD
• Brianna Keri Crisostomo
• Yacenia Crisostomo
• Paris Crispin
• Critical Time Intervention Pierce County
• Charles Watson Croasdill, DMD
• Vera G Croce, MA, LMHC

• Case Management Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Case Management Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.