Individual provider Active NPI

Heather Daryl Crittenden, MD

  • Internal Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1467448142
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25588 Issued in AZ
Practice address
3400 Escalante Ovi
Flagstaff, AZ 86001-3752
Phone
(928) 226-1239
Fax
(928) 773-1170
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25588 AZ Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 25588 AZ

Addresses

Primary practice location

3400 Escalante Ovi
Flagstaff, AZ 86001-3752

Mailing address

3400 Escalante Ovi
Flagstaff, AZ 86001-3752
Phone (928) 525-9316

Other practice location 1

1215 N Beaver St
Flagstaff, AZ 86001-3126
Phone (928) 773-2200

Other identifiers 1

IdentifierTypeStateIssuer
422890MedicaidAZ

Other names 1

  • Heather Daryl Crittenden Armstrong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000356 AZ Practitioner - Family PracticePractitioner - Hospice/Palliative Care 2961430186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25588AZMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Medical Center CurrentSince Jun 19, 2011 Accepting new patients
Flagstaff Medical Center Current Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Flagstaff Medical Center CurrentSince Jun 19, 2011 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Nov 27, 2018 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 27, 2018 Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients
Scottsdale Family Health, PLLC Family Medicine Past Accepting new patients
Hayden Family Medical Center LTD Family Medicine Past Accepting new patients
Horizon Healthcare Family Medicine Past Accepting new patients

Locations

450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2200

1485 N Turquoise Dr
Flagstaff, AZ 86001
Phone (928) 774-6626

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1467448142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 ESCALANTE OVI",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013752",
            "telephone_number": "928-525-9316",
            "fax_number": "928-525-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ESCALANTE OVI",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013752",
            "telephone_number": "928-226-1239",
            "fax_number": "928-773-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013126",
            "country_code": "US",
            "telephone_number": "928-773-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRITTENDEN",
        "first_name": "HEATHER",
        "middle_name": "DARYL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25588",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "25588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422890",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CRITTENDEN ARMSTRONG",
            "middle_name": "DARYL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.