Crispina Mayes, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN.279186 Issued in OH

Practice address

1033 Devlac GRV
Bowling Green, OH 43402-4501

Phone

(419) 352-6460

Fax

(419) 352-3407

NPI assigned

Dec 8, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1578078846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DEVLAC GRV",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024501",
            "telephone_number": "419-352-6460",
            "fax_number": "419-352-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 DEVLAC GRV",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024501",
            "telephone_number": "419-352-6460",
            "fax_number": "419-352-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "CRISPINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.279186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "RN.279186",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne M Matthews, OTR/L
• Maumee Valley Internist Inc
• Alicia M Maurer-Vallier, MA, MFT
• Lauren Paige Maxwell, LPC
• John Mayack
• Morgan McCormick
• Bonnie L McCourt, LSW
• Paul A McCrory III, NP
• Ross McDermott, MD
• Sean McFarland McFarland I

• Addiction (Substance Use Disorder) Registered Nurse in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.