Active NPI
Deonna Crawford
- Nurse's Aide
- Glendale, AZ
National Provider Identifier
1710649306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 251074
- Practice address
- 7111 N 75TH Ave
Glendale, AZ 85303-2514 - Phone
- (928) 233-1716
- NPI assigned
- Oct 11, 2021
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 251074 | AZ | Primary |
Addresses
Primary practice location
7111 N 75TH Ave
Glendale, AZ 85303-2514
Mailing address
7111 N 75TH Ave
Glendale, AZ 85303-2514
Phone (928) 233-1716
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251074 | AZ | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1710649306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 N 75TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853032514",
"telephone_number": "928-233-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 N 75TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853032514",
"telephone_number": "928-233-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "DEONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AZ",
"license": "251074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.