Organization Active NPI

Kimberly W. Crawford, MD., PA.

  • Allergy Physician
  • Vero Beach, FL
National Provider Identifier
1558450338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME41273 Issued in FL
Legal business name
KIMBERLY W. CRAWFORD, MD., PA.
Practice address
787 37TH St Ste E100
Vero Beach, FL 32960-7304
Phone
(772) 562-9602
Fax
(772) 562-8086
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimberly W. Crawford, M.D.
Title
Owner/President
Phone
(772) 562-9602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X ME41273 FL Primary

Addresses

Primary practice location

787 37TH St Ste E100
Vero Beach, FL 32960-7304

Mailing address

PO Box 650489
Vero Beach, FL 32965-0489
Phone (772) 562-9602

National Provider Directory

National Provider Directory

Locations

787 37th St
Ste E100
Vero Beach, FL 32960
Phone (772) 569-9747

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558450338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650489",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329650489",
            "telephone_number": "772-562-9602",
            "fax_number": "772-562-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607304",
            "telephone_number": "772-562-9602",
            "fax_number": "772-562-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY W. CRAWFORD, MD., PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-562-9602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME41273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.