Cassi June Ann Crawford

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

202008205CNA Issued in OR

Practice address

1170 SE Jefferson St Apt 1
Dallas, OR 97338-2861

Phone

(503) 752-4181

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1750079729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 SE JEFFERSON ST APT 1",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382861",
            "telephone_number": "503-752-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 SE JEFFERSON ST APT 1",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382861",
            "telephone_number": "503-752-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CASSI",
        "middle_name": "JUNE ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "202008205CNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nan Cecile Cordy, LICENSE IN PROGRESS
• Lisa Cossitt
• Brittany Michelle Cote, M.A.
• County of Polk (Polk County Mental Health)
• County of Polk
• Jessica Cecilia Cromwell
• Inge Daeschel, R.D., L.D.
• Dallas Family Medicine LLC
• Dallas Health Care Center L L C (Dallas Retirement Village Health Center)
• Dallas Mennonite Retirement Community, Inc.

• Nurse's Aide in Dallas, OR
• Providers in Dallas, OR by specialty
• Nurse's Aide in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.