Active NPI
Crystal Dawn Washburn, D.C.
- Chiropractor
- Raton, NM
National Provider Identifier
1992868574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1330
- Practice address
- 230 Galisteo Ave
Raton, NM 87740-4026 - Phone
- (505) 445-8811
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1330 | NM | Primary |
Addresses
Primary practice location
230 Galisteo Ave
Raton, NM 87740-4026
Mailing address
PO Box 909
Raton, NM 87740-0909
Phone (575) 445-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000637 | NM | Practitioner - Chiropractic | 3072770080 | Practice locations: Raton, NM |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1330 | NM | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1992868574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "RATON",
"state": "NM",
"postal_code": "877400909",
"telephone_number": "575-445-8811",
"fax_number": "575-445-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GALISTEO AVE",
"city": "RATON",
"state": "NM",
"postal_code": "877404026",
"telephone_number": "505-445-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHBURN",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.