Crina Stockwell, NP

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

666808 Issued in CA

Practice address

87 Scripps Dr Ste 200
Sacramento, CA 95825-6381

Phone

(916) 436-3015

NPI assigned

Aug 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Pain and Rehabilitative Consultants Medical Group

  • Interventional Pain Medicine Physician
  • Emeryville, CA
  • NPI 1952466963
  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1942929252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256381",
            "telephone_number": "916-436-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256381",
            "telephone_number": "916-436-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "CRINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "666808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.activelifemedical.com",
            "affiliation": "N",
            "address_1": "87 Scripps Dr Ste 200",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958256381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raneisha Stocker
• Timothy John Stocker, M.D.
• Steven Gregory Stockslager, M.D.
• Joanna Rayas Stockton, LMFT 88534
• Anna Katherine Stockwell
• Alicia Stoddard
• Jessica Stoddard, APCC
• Zoe Lucretia1 Stoddart
• Sherry Lee Stoefen
• Amy Stoffel

• Wound Care Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Wound Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.