Tatanisha Crumble

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Practice address

623 Slate Dr Apt B
Indianapolis, IN 46227-5086

Phone

(317) 238-0294

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1548900194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 SLATE DR APT B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275086",
            "telephone_number": "317-238-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SLATE DR APT B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275086",
            "telephone_number": "317-238-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBLE",
        "first_name": "TATANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Indianapolis",
            "affiliation": "N",
            "endpointDescription": "Respite",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "623 Slate Dr Apt B",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462275086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Cruea
• Kathleen Isabel Crum, PHD
• Morgan D Crum, NNP
• Tondra Crum
• Alexandria Crumble-Owolabi, PHARM.D.
• Kelsey Michelle Crumley, PA-C
• Robyn Danielle Crumpacker, MSW, LCSW, LCACA
• Alondra Crumpton
• Wendy Kay Cruse, RDN
• Lasandra Crutcher

• Child Mental Illness Respite Care in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Child Mental Illness Respite Care in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.