Active NPI
Crystal Dawn Delk, MHPP
- Case Manager/Care Coordinator
- Fort Smith, AR
National Provider Identifier
1750647889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 100 Towson Ave
Fort Smith, AR 72901-2632 - Phone
- (479) 784-9801
- Fax
- (479) 784-9805
- NPI assigned
- Apr 3, 2012
- Last updated
- Apr 3, 2012
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
100 Towson Ave
Fort Smith, AR 72901-2632
Mailing address
100 Towson Ave
Fort Smith, AR 72901-2632
Phone (479) 784-9801
Other names 1
- Crystal Dawn Williams
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxus Inc. | Past | Accepting new patients | |
| Maxus Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1750647889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TOWSON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729012632",
"telephone_number": "479-784-9801",
"fax_number": "479-784-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TOWSON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729012632",
"telephone_number": "479-784-9801",
"fax_number": "479-784-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELK",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"credential": "MHPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "WILLIAMS",
"middle_name": "DAWN",
"credential": "MHPP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.