Individual provider Active NPI

Paula Ann Crinklaw, FNP-C

  • Family Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1508831025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1725 Issued in AZ
Practice address
1485 W Frontier St
Apache Junction, AZ 85220
Phone
(602) 228-2254
NPI assigned
Feb 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1725 AZ Primary

Addresses

Primary practice location

1485 W Frontier St
Apache Junction, AZ 85220

Mailing address

1485 W Frontier St
Apache Junction, AZ 85220-9134
Phone (602) 228-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
474AKMDClinical Psychologist
1725AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Primary Care Physicians, LLC Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508831025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 W FRONTIER ST",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852209134",
            "telephone_number": "602-228-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 W FRONTIER ST",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "85220",
            "telephone_number": "602-228-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRINKLAW",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.