Jacqueline Crisco

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

292 Guilford St
Danville, VA 24540-2243

Phone

(434) 728-2348

Fax

(434) 835-4623

NPI assigned

Sep 18, 2017

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

Practice roles

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.

• We Care

  • Personal Care Attendant
  • Danville, VA
  • NPI 1790297109

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780103044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 GUILFORD STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-728-2348",
            "fax_number": "434-835-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 GUILFORD ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402243",
            "telephone_number": "434-728-2348",
            "fax_number": "434-835-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISCO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Danville, VA
• Providers in Danville, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.