Active NPI
William Randall Crews, ATC
- Athletic Trainer
- Bemidji, MN
National Provider Identifier
1538284492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1284
- Practice address
- 1500 Birchmont Dr NE
Bemidji State University
Bemidji, MN 56601-2600 - Phone
- (218) 755-2769
- Fax
- (218) 755-2284
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1284 | MN | Primary |
Addresses
Primary practice location
1500 Birchmont Dr NE
Bemidji State University
Bemidji, MN 56601-2600
Mailing address
4213 Crest CT NE
Bemidji, MN 56601-6113
Phone (218) 444-7968
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538284492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 CREST CT NE",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566016113",
"telephone_number": "218-444-7968",
"fax_number": "218-755-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 BIRCHMONT DR NE",
"address_2": "BEMIDJI STATE UNIVERSITY",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012600",
"telephone_number": "218-755-2769",
"fax_number": "218-755-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "WILLIAM",
"middle_name": "RANDALL",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bemidji, MN
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.