Priscilla Cantine Crispell, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F3021451 Issued in NY

Practice address

Lakeside Nursing Home, Inc.
1229 Trumansburg Rd
Ithaca, NY 14850-1313

Phone

(607) 273-8072

Fax

(607) 273-0373

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Loretto Rest Realty Corporation

  • Clinic/Center
  • Syracuse, NY
  • NPI 1548366271
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942421045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CAMPBELL AVE.",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-272-5927",
            "fax_number": "607-273-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKESIDE NURSING HOME, INC.",
            "address_2": "1229 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501313",
            "telephone_number": "607-273-8072",
            "fax_number": "607-273-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPELL",
        "first_name": "PRISCILLA",
        "middle_name": "CANTINE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3021451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Cranston, NP
• Poucher L Crawley, MHC
• Creative Orthotics & Prosthetics, Inc.
• Amy Creeden
• Ruth Chadab Crepet, MD
• Pamela Cronk, NP
• Jonathan Eric Cryer, MD
• Thomas Peter Cullen, LCSW-R
• Cultivating Growth Licensed Clinical Social Work, P.L.L.C.
• Sally A Cunningham Manning, M.S.

• Adult Health Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.