Individual provider Active NPI

Tammy Crackel

  • Addiction (Substance Use Disorder) Registered Nurse
  • Springfield, OH
National Provider Identifier
1376210609
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN.443276 Issued in OH
Practice address
2317 E Home Rd
Springfield, OH 45503-2520
Phone
(937) 390-8060
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN.443276 OH Primary

Addresses

Primary practice location

2317 E Home Rd
Springfield, OH 45503-2520

Mailing address

2317 E Home Rd
Springfield, OH 45503-2520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcrackel@ethancrossing.com

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
RN.443276OHMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1376210609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032520",
            "telephone_number": "937-390-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACKEL",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.443276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcrackel@ethancrossing.com",
            "affiliation": "N",
            "address_1": "2317 E Home Rd",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455032520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.