Active NPI
Theresa Ann Crispin, MSW
- Social Worker
- Urbandale, IA
National Provider Identifier
1710124979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 03130
- Practice address
- 7422 Roseland Dr
Urbandale, IA 50322-4159 - Phone
- (515) 224-0457
- NPI assigned
- Jan 9, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 03130 | IA | Primary |
Addresses
Primary practice location
7422 Roseland Dr
Urbandale, IA 50322-4159
Mailing address
7422 Roseland Dr
Urbandale, IA 50322-4159
Phone (515) 224-0457
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse in the House, Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1710124979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7422 ROSELAND DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224159",
"telephone_number": "515-224-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7422 ROSELAND DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224159",
"telephone_number": "515-224-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISPIN",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "03130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.