Crawford First Education

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

842-02-029 Issued in VA

Legal business name

CRAWFORD FIRST EDUCATION

Practice address

825 Crawford Pkwy
Portsmouth, VA 23704-2301

Phone

(757) 391-6675

Fax

(757) 691-6651

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Jodi Conner

Title

Business Development Coordinator

Phone

(757) 393-7244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1861403685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CRAWFORD PKWY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042301",
            "telephone_number": "757-391-6675",
            "fax_number": "757-691-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CRAWFORD PKWY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042301",
            "telephone_number": "757-391-6675",
            "fax_number": "757-691-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD FIRST EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT COORDINATOR",
        "authorized_official_telephone_number": "757-393-7244"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "842-02-029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010285453",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Cox
• William Walter Cox, DDS
• Ryan William Craig, MD
• Thomas Allen Craig, M.D.
• Pollyanna Crane
• Evan Drew Crawford, DO
• John Joseph Crawford II, BS
• Regina N/a Crawford
• Tiffany Marie Crayton, L.P.C.
• Cre8Forlife

• Mental Illness Community Based Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.