Antonde Tyese Crawford, HAS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1573 Issued in NC

Practice address

8334 Pineville Matthews Rd Ste 102
Charlotte, NC 28226-3764

Phone

(704) 541-8965

NPI assigned

Dec 15, 2020

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 2

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.

• Graceful Living in Home Care, LLC

  • In Home Supportive Care Agency
  • Rock Hill, SC
  • NPI 1679328850
  NPD Authorized official
• South Atlantic Hearing LLC

  • Hearing Aid Equipment
  • Charlotte, NC
  • NPI 1952509713
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1417543414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 PINEVILLE MATTHEWS RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263764",
            "telephone_number": "704-541-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8334 PINEVILLE MATTHEWS RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263764",
            "telephone_number": "704-541-8965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20723 Torrence Chapel Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316399",
            "country_code": "US",
            "telephone_number": "704-655-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ANTONDE",
        "middle_name": "TYESE",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1952509713",
            "identifier": "85-2673525",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURANCE",
            "identifier": "85-2673525",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Andrew Craven
• Elizabeth Craver
• Crawford
• Elizabeth Hollis Crawford Patillo, LCMHC
• Abigail Crawford, DPT, PT
• Brigid Munns Crawford
• Cassandra Crawford
• Catherine B. Crawford, OT
• Chancelor Crawford
• Danielle Crawford

• Hearing Instrument Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Hearing Instrument Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.