Active NPI
Tonya Lynn Crespo, MSN, FNP-C, WHNP-BC
- Primary Care Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1831600410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 339749
- Practice address
- 2815 Cates Ave
Raleigh, NC 27695-2850 - Phone
- (919) 515-2563
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 661151 | TX | |
| Nurse Practitioner | 363L00000X | 661151 | TX | |
| Family Nurse Practitioner | 363LF0000X | 661151 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 5009996 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 339749 | NC | Primary |
Addresses
Primary practice location
2815 Cates Ave
Raleigh, NC 27695-2850
Mailing address
2815 Cates Ave
Raleigh, NC 27695-7304
Phone (919) 515-2563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 661151 | TX | MD | Family Nurse Practitioner |
| 339749 | NC | MD | Primary Care Nurse Practitioner |
| 5009996 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Wake | Current | Accepting new patients | |
| County of Wake | Current | Accepting new patients |
Locations
10 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-4570
1002 Dogwood Dr
Zebulon, NC 27597
Phone (919) 266-8422
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
- NPI 1295761617
-
- State or Local Public Health Clinic/Center
- Raleigh, NC
- NPI 1801957576
-
- Land Ambulance
- Raleigh, NC
- NPI 1922098029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1831600410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 CATES AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276957304",
"telephone_number": "919-515-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 CATES AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276952850",
"telephone_number": "919-515-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "TONYA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-C, WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "661151",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "661151",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "661151",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "5009996",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "339749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.