Angelina Crayne

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5420 Douglas Blvd Ste F
Granite Bay, CA 95746-6253

Phone

(916) 287-1517

NPI assigned

Aug 3, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1881368074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SOUTH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384227",
            "telephone_number": "916-514-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 DOUGLAS BLVD STE F",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466253",
            "telephone_number": "916-287-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYNE",
        "first_name": "ANGELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.luminello.com/christinezelnikma",
            "affiliation": "N",
            "endpointDescription": "Luminello",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5420 Douglas Blvd Ste F",
            "city": "Granite Bay",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957466253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yazmin Cortes Gonzalez
• Alexandra Coss
• Emalee D Costa
• Thomas Spencer Cowles, PA-C
• Gail Lei Crawford, CRNA
• Kylie Crayton
• Alexis Crout
• Anna Mercedes Cubano
• Zaire Cunningham
• Taylor Dains

• Speech-Language Pathologist in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.