Lisa Yvonne Crandall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

276862-1 Issued in NY

Practice address

2129 State Route 19
Park 2 Lot 49
Wellsville, NY 14895-9420

Phone

(585) 808-4750

NPI assigned

May 20, 2010

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

State licenses

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1437478104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 COUNTY ROAD 16",
            "city": "ANGELICA",
            "state": "NY",
            "postal_code": "147098705",
            "telephone_number": "585-808-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 STATE ROUTE 19",
            "address_2": "PARK 2 LOT 49",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959420",
            "telephone_number": "585-808-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "LISA",
        "middle_name": "YVONNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "276862-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Cook, OD
• Kaitlyn Michele Cooney
• Cynthia L. Costello, LPN
• Lauren P Costello, LMHC
• Heide Kathleen Crandall, MD
• Sarah E Cronin, MSW
• Janet Marie Cudney, RN
• Richard J Cudney, BS
• Kathy Lynn Darrow-Holla, RN
• David H Graham

• Licensed Practical Nurse in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.