Kevin Elliott Crawford, PA, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN047180 Issued in AZ

Practice address

512 E Southern Ave
Suite D
Tempe, AZ 85282-5209

Phone

(480) 921-0767

Fax

(480) 921-9567

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Male

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

Credentials

Nurse Practitioner, Physician Assistant

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1780961862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E SOUTHERN AVE",
            "address_2": "SUITE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825209",
            "telephone_number": "480-921-0767",
            "fax_number": "480-921-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E SOUTHERN AVE",
            "address_2": "SUITE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825209",
            "telephone_number": "480-921-0767",
            "fax_number": "480-921-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KEVIN",
        "middle_name": "ELLIOTT",
        "credential": "PA, NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN047180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dale R Crawford, M.D.
• Micah Crawford, LPC
• Parish Lakenzie Crawford, OTD, OTR/L
• Carlton Crayton Jr.
• Charles William Creager IV, MS
• Creative Healing Counseling LLC

• Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.