Individual provider Active NPI

Misty Williamson Crespo, HIS

  • Hearing Instrument Specialist
  • Sedona, AZ
National Provider Identifier
1962819029
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADR10832 Issued in AZ
Practice address
100 Verde Valley School Rd Ste 105
Sedona, AZ 86351-9053
Phone
(928) 284-5200
Fax
(928) 284-5201
NPI assigned
Jul 21, 2014
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAD.0000284 CO
Hearing Instrument Specialist 237700000X HADS000922 GA
Hearing Instrument Specialist 237700000X HADR10832 AZ Primary

Addresses

Primary practice location

100 Verde Valley School Rd Ste 105
Sedona, AZ 86351-9053

Mailing address

215 Shuman Blvd
Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380

Other names 1

  • Misty Ledawn Williamson Crespo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HADR10832AZMDHearing Instrument Specialist
HAD.0000284COMDHearing Instrument Specialist
HADS000922GAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1962819029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638123",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VERDE VALLEY SCHOOL RD STE 105",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519053",
            "telephone_number": "928-284-5200",
            "fax_number": "928-284-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "MISTY",
        "middle_name": "WILLIAMSON",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD.0000284",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS000922",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HADR10832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "WILLIAMSON CRESPO",
            "middle_name": "LEDAWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.