Active NPI
Nikki R Crawford, PAC
- Surgical Physician Assistant
- Federal Way, WA
National Provider Identifier
1508915679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA10004560
- Practice address
- 33501 1St Way S
Federal Way, WA 98003-6208 - Phone
- (253) 838-2400
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA10004560 | WA | Primary |
Addresses
Primary practice location
33501 1St Way S
Federal Way, WA 98003-6208
Mailing address
1100 Olive Way MSC M4-PA
Seattle, WA 98101-1873
Phone (206) 515-5811
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00088504 | Other | WA | RAILROAD MEDICARE # |
| 0039594 | Other | WA | LABOR AND INDUSTRIES # |
| 8388159 | Medicaid | WA | |
| US7831554 | Other | WA | AETNA SPECIALIST PIN |
| 7374WI | Other | WA | BLUE SHIELD # |
Other names 1
- Nikki R Williams
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
- Physician Assistant
Interoperability endpoints
- nikki.crawford@direct.vmmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1508915679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLIVE WAY MSC M4-PA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011873",
"telephone_number": "206-515-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-838-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "NIKKI",
"middle_name": "R",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA10004560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00088504",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039594",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8388159",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN",
"identifier": "US7831554",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "7374WI",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "WILLIAMS",
"middle_name": "R",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.