Individual provider Active NPI

Chana Deloyce Crawford, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1487890083
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61579869 Issued in WA
Practice address
1718 Broadway
Everett, WA 98201-2347
Phone
(425) 212-4211
Fax
(425) 347-0492
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61579869 WA Primary
Registered Nurse 163W00000X RN00104452 WA

Addresses

Primary practice location

1718 Broadway
Everett, WA 98201-2347

Mailing address

906 SE Everett Mall Way Ste 200
Everett, WA 98208-3743
Phone (425) 353-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916003262 WA Practitioner - Nurse Practitioner 5991246167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Services IncGroup PAC ID 4981799483, 6 clinicians

Practice addresses (Care Compare)

1718 Broadway
Everett, WA 98201-2347
Phone (425) 359-8901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00104452WAMDRegistered Nurse
AP61579869WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Services, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Childstrive CurrentSince Sep 1, 2024 Accepting new patients
Sunrise Services, Inc. Past Accepting new patients
Sunrise Services, Inc. PastSince Sep 1, 2024 Accepting new patients

Locations

1718 Broadway
Everett, WA 98201
Phone (425) 212-4211

906 SE Everett Mall Way
Ste 200
Everett, WA 98208
Phone (425) 353-5656

2500 E College Way
Mount Vernon, WA 98273
Phone (360) 336-3762

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1487890083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SE EVERETT MALL WAY STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083743",
            "telephone_number": "425-353-5656",
            "fax_number": "425-513-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012347",
            "telephone_number": "425-212-4211",
            "fax_number": "425-347-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHANA",
        "middle_name": "DELOYCE",
        "name_prefix": "Mrs.",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61579869",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00104452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.