Active NPI
Jacqueline Crespo-Gales, MD
- Pediatrics Physician
- Madison, AL
National Provider Identifier
1659348019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20565
- Practice address
- 101 Westover Cir
Suite a
Madison, AL 35758-4900 - Phone
- (256) 461-0209
- Fax
- (256) 325-3147
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20565 | AL | Primary |
Addresses
Primary practice location
101 Westover Cir
Suite a
Madison, AL 35758-4900
Mailing address
101 Westover Cir
Suite a
Madison, AL 35758-4900
Phone (256) 461-0209
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20565 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Valley Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- madisonvalleypediatrics@ppdxdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1659348019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WESTOVER CIR",
"address_2": "SUITE A",
"city": "MADISON",
"state": "AL",
"postal_code": "357584900",
"telephone_number": "256-461-0209",
"fax_number": "256-325-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WESTOVER CIR",
"address_2": "SUITE A",
"city": "MADISON",
"state": "AL",
"postal_code": "357584900",
"telephone_number": "256-461-0209",
"fax_number": "256-325-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO-GALES",
"first_name": "JACQUELINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "20565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.