Organization Active NPI

Crawford Surgical First Assisting LLC

  • Medical-Surgical Clinical Nurse Specialist
  • Tucson, AZ
National Provider Identifier
1952743213
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
AP3152 Issued in AZ
Legal business name
CRAWFORD SURGICAL FIRST ASSISTING LLC
Practice address
2450 N Willow Ranch Rd
Tucson, AZ 85749-6705
Phone
(520) 449-3487
Fax
(520) 203-8290
NPI assigned
Jul 26, 2013
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dawn R Bristow
Title
Billing Manager
Phone
(520) 449-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X AP3152 AZ Primary

Addresses

Primary practice location

2450 N Willow Ranch Rd
Tucson, AZ 85749-6705

Mailing address

2450 N Willow Ranch Rd
Tucson, AZ 85749-6705
Phone (520) 449-3487

Other identifiers 1

IdentifierTypeStateIssuer
1467691287OtherAZINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1952743213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N WILLOW RANCH RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857496705",
            "telephone_number": "520-449-3487",
            "fax_number": "520-203-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N WILLOW RANCH RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857496705",
            "telephone_number": "520-449-3487",
            "fax_number": "520-203-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD SURGICAL FIRST ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "BRISTOW",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "520-449-3487"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "AZ",
            "license": "AP3152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467691287",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.