Active NPI
Jennifer Louise Crisp, RN, HEALTH EDUCATOR
- Health Educator
- Pasadena, MD
National Provider Identifier
1518467141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- R157638
- Practice address
- 1495 Long Point Rd
Pasadena, MD 21122-5972 - Phone
- (443) 618-4151
- NPI assigned
- Feb 20, 2018
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | R157638 | MD | Primary |
Addresses
Primary practice location
1495 Long Point Rd
Pasadena, MD 21122-5972
Mailing address
1495 Long Point Rd
Pasadena, MD 21122-5972
Phone (443) 618-4151
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157638 | MD | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1518467141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 LONG POINT RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211225972",
"telephone_number": "443-618-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 LONG POINT RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211225972",
"telephone_number": "443-618-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISP",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RN, HEALTH EDUCATOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MD",
"license": "R157638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.