Active NPI
Emily Crick
- Family Nurse Practitioner
- Laguna Beach, CA
National Provider Identifier
1922491646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001992
- Practice address
- 379 Aster St
Laguna Beach, CA 92651-1714 - Phone
- (805) 252-5396
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001992 | CA | Primary |
Addresses
Primary practice location
379 Aster St
Laguna Beach, CA 92651-1714
Mailing address
379 Aster St
Laguna Beach, CA 92651-1714
Phone (805) 252-5396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617002493 | CA | Practitioner - Nurse Practitioner | 9537470554 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sansum Clinic
Practice addresses (Care Compare)
317 W Pueblo St
Santa Barbara, CA 93105-4310
Phone (805) 681-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 5
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.
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1144648015
-
- Community/Retail Pharmacy
- Santa Barbara, CA
- NPI 1376645788
-
- Community/Retail Pharmacy
- Santa Barbara, CA
- NPI 1376655290
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1649296807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1922491646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 ASTER ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511714",
"telephone_number": "805-252-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 ASTER ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511714",
"telephone_number": "805-252-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRICK",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.