Active NPI
Julie D Crispin, M.D.
- Anesthesiology Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME62172
- Practice address
- 1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521 - Phone
- (772) 398-3770
- NPI assigned
- May 20, 2006
- Last updated
- Aug 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME62172 | FL | Primary |
Addresses
Primary practice location
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Mailing address
30 E High Point Rd
Stuart, FL 34996-7002
Phone (772) 219-2502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378824500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME62172 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| St Lucie Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Atlantic Coast Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
Locations
501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573
1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288
Organizations & group practices 6
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.
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- Boca Raton, FL
- NPI 1700044252
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1154993558
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1851252902
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1669425641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249689600000",
"number": "1598719908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E HIGH POINT RD",
"city": "STUART",
"state": "FL",
"postal_code": "349967002",
"telephone_number": "772-219-2502",
"fax_number": "772-220-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521",
"telephone_number": "772-398-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISPIN",
"first_name": "JULIE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2009-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME62172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378824500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Craville Dialysis, LLC (Treasure Coast Dialysis)
- Paula Andrea Michelle Crawford-Harris, M.D.
- Paulette Elaine Crawford, PHARMD
- Stefanie E Crawford, RN
- CRC Health Treatment Clinics, LLC (St Lucie Comprehensive Treatment Center)
- Cristian J Presutti M.D. , P.L.
- Kristen Michele Crocker
- Julie A Cromer, DDS
- Edward Francis Crooks, RDMS, RDCS, RVT
- Cross-Check Healthcare Consultant (Home Safety Consultant)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.