Joan Crisp

Primary specialty

Chemistry Pathology Specialist/TechnologistTaxonomy code 246QC1000X

License

196154 Issued in IL

Practice address

2160 Martin Rd
Limestone, TN 37681-4756

Phone

(828) 775-1475

NPI assigned

Sep 3, 2016

Last updated

Sep 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

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": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472860800000",
    "number": "1457808792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 MARTIN RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376814756",
            "telephone_number": "828-775-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 MARTIN RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376814756",
            "telephone_number": "828-775-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": "IL",
            "license": "196154",
            "primary": true
        },
        {
            "code": "246QB0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Blood Banking",
            "state": null,
            "license": "196154",
            "primary": false
        },
        {
            "code": "246QH0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": "IL",
            "license": "196154",
            "primary": false
        },
        {
            "code": "246QI0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Immunology",
            "state": "IL",
            "license": "196154",
            "primary": false
        },
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": "IL",
            "license": "196154",
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": "196154",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": "196154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pathology Specialist/Technologist in Limestone, TN
• Providers in Limestone, TN by specialty
• Pathology Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.