Crisse Jordan Witte, PSY

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

License

L19116350 Issued in AZ

Practice address

1251 S Gecko Rd
Tucson, AZ 85713-1223

Phone

(520) 213-0411

Fax

(520) 207-3801

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Thomas M Jordan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ammar Transportation LLC

  • Other Technician
  • Portland, OR
  • NPI 1659236735
  NPD

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1679991046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S GECKO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857131223",
            "telephone_number": "520-213-0411",
            "fax_number": "520-207-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S GECKO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857131223",
            "telephone_number": "520-213-0411",
            "fax_number": "520-207-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "CRISSE",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "credential": "PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "AZ",
            "license": "L19116350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "JORDAN",
            "middle_name": "M",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• With Intention Counseling
• With Intention Counseling
• Cynthia Elizabeth-Marie Witham
• Tanya Witman, LAC, LMT
• Norina Danielle Witt, MD
• Jeanette Marie Witte, PHARMD
• Marlys H Witte, MD
• Patricia Louise Witte, RN
• Anthony Mobley Witten
• Brandon L Witten, MD

• Contractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.