Individual provider Active NPI

Ceridwyn Creswell

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1720543010
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Usc Mrs TH Chan Division of Occupational Science and
Los Angeles, CA 90089-0001
Phone
(323) 442-2850
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Usc Mrs TH Chan Division of Occupational Science and
Los Angeles, CA 90089-0001

Mailing address

Usc Mrs TH Chan Division of Occupational Science and
Los Angeles, CA 90089-0001

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

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Aug 16, 2021 Accepting new patients

Locations

3300 Providence Dr
Ste B302
Anchorage, AK 99508
Phone (907) 212-2090

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1720543010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USC MRS TH CHAN DIVISION OF OCCUPATIONAL SCIENCE AND",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USC MRS TH CHAN DIVISION OF OCCUPATIONAL SCIENCE AND",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890001",
            "telephone_number": "323-442-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESWELL",
        "first_name": "CERIDWYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.