Emily Crismore, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-214583 Issued in IN

Practice address

2010 S Yost Ave
Bloomington, IN 47403-3188

Phone

(812) 822-0605

Fax

(812) 822-2496

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids Play Sensory Gym LLC

  dba Kids Play Gym

  • Clinic/Center
  • Bloomington, IN
  • NPI 1922518463
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1518690353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S YOST AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033188",
            "telephone_number": "812-822-0605",
            "fax_number": "812-822-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S YOST AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033188",
            "telephone_number": "812-822-0605",
            "fax_number": "812-822-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMORE",
        "first_name": "EMILY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-22-214583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "RBT-22-214583",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@kidsplaygym.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted email",
            "address_1": "2010 S Yost Ave",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474033188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan S Crawford, DO
• Create-a-Smile, PC
• Creative Care Solutions, LLC
• Alexandra Elisabeth Creech
• Jayne Crescimbeni-Pierce, C-NP
• Deleska Crockett, M.A.
• Jaclyn N Crompton, FNP
• Claire Cronin
• Ruana Cronin, NP
• John I Cronkhite, M.D.

• Behavior Technician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.