Individual provider Active NPI

Tori D Crawford, N.P.

  • Family Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1659509586
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF 18972 Issued in CA
Practice address
121 Sotoyome St Ste 101
Santa Rosa, CA 95405-4834
Phone
(707) 526-4078
Fax
(707) 545-1145
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPF 18972 CA Primary

Addresses

Primary practice location

121 Sotoyome St Ste 101
Santa Rosa, CA 95405-4834

Mailing address

121 Sotoyome St Ste 101
Santa Rosa, CA 95405-4834
Phone (707) 526-4078

Other identifiers 3

IdentifierTypeStateIssuer
1659509586MedicaidCA
NP0189720OtherCABLUE SHIELD
P00759212OtherCARAILROAD MEDICARE

Other names 1

  • Tori A Doolittle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcrawford1647968@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000208 CA Practitioner - Nurse Practitioner 6507912771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

200 W Ctr St Promenade
Anaheim, CA 92805-3960

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF 18972CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 1, 2014 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2014 Accepting new patients
Redwood Regional Medical Group Inc Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

101 Rowland Way
Ste 320
Novato, CA 94945
Phone (415) 785-8600

121 Sotoyome St
Ste 101
Santa Rosa, CA 95405
Phone (707) 525-1150

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

121 Sotoyome St
Ste 203
Santa Rosa, CA 95405
Phone (707) 525-4080

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

652 Petaluma Ave
Ste B
Sebastopol, CA 95472
Phone (707) 823-8565

Interoperability endpoints

  • Direct secure messaging: tcrawford1647968@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1659509586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054834",
            "telephone_number": "707-526-4078",
            "fax_number": "707-545-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054834",
            "telephone_number": "707-526-4078",
            "fax_number": "707-545-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "TORI",
        "middle_name": "D",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF 18972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659509586",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NP0189720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00759212",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcrawford1647968@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "121 Sotoyome St Ste 101",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "DOOLITTLE",
            "middle_name": "A",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.