Individual provider Active NPI

Carole M Crawford, M.S, R.N., C.S, APN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Pueblo West, CO
National Provider Identifier
1992779805
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
35314 Issued in CO
Practice address
63 E Spaulding Ave
Pueblo West, CO 81007-5416
Phone
(719) 251-3346
Fax
(855) 775-0361
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APN.0001116.CNS CO
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 35314 CO Primary

Addresses

Primary practice location

63 E Spaulding Ave
Pueblo West, CO 81007-5416

Mailing address

63 E Spaulding Ave
Box 11
Pueblo West, CO 81007-5416
Phone (719) 251-3346

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)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
35314COMDPsychiatric/Mental Health Clinical Nurse Specialist
APN.0001116.CNSCOMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1992779805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E SPAULDING AVE",
            "address_2": "BOX 11",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075416",
            "telephone_number": "719-251-3346",
            "fax_number": "855-775-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E SPAULDING AVE",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075416",
            "telephone_number": "719-251-3346",
            "fax_number": "855-775-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CAROLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S, R.N., C.S, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0001116.CNS",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CO",
            "license": "35314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

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