JERRY TRAVIS CRESPO JR. (NPI# 1073023156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073023156 |
| Entity Type | Individual |
| Full Name | JERRY TRAVIS CRESPO JR. |
| Credential | HIS |
| Practice Address |
405 N Beaver St Ste 4 Flagstaff AZ 86001-4500 |
| Mailing Address |
215 Shuman Blvd Ste 401 Naperville IL 60563-8123 |
| Practice Telephone | 9282140907 |
| Practice Fax Number | 9282220008 |
| Mailing Telephone | 6303035380 |
| Mailing Fax Number | 6303035385 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HADR10827 | AZ | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Verde Valley School Rd Ste 105, Sedona, AZ 863519053 | 9282845200 | 9282845201 |
| Street Address |
405 N BEAVER ST STE 4 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888025 | Shaine Schnurman | Hearing Instrument Specialist | 2700 S Woodlands Village Blvd Ste 320, Flagstaff, AZ 86001-7127 | 2020-07-21 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1609097187 | Rebecca Haber | Hearing Instrument Specialist | 1300 S. Milton Road, Suite # 205, Flagstaff, AZ 86001 | 2007-05-01 |
| 1689121600 | Deborah Gutierrez | Hearing Instrument Specialist | 405 N Beaver St, Ste 4, Flagstaff, AZ 86001-4500 | 2016-09-07 |
| 1750795316 | Andrea Murphy | Hearing Instrument Specialist | 405 N Beaver St, Ste 4, Flagstaff, AZ 86001-4500 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665801 | Heargen LLC | Hearing Instrument Specialist | 5331 S Superstition Mountain Dr Ste C-107, Gold Canyon, AZ 85118-1921 | 2020-09-29 |
| 1881209872 | Christina Bourassa | Hearing Instrument Specialist | 7904 E Chaparral Rd Ste 106, Scottsdale, AZ 85250-7210 | 2020-09-15 |
| 1306454897 | Marilynn Collins | Hearing Instrument Specialist | 115 W Esperanza Blvd Ste 115-l, Green Valley, AZ 85614-2626 | 2020-07-21 |
| 1215545892 | Casie M Burright | Hearing Instrument Specialist | 3477 Canyon De Flores Ste E, Sierra Vista, AZ 85650-5335 | 2020-07-20 |
| 1366068199 | Jennifer Salisbury | Hearing Instrument Specialist | 2222 W Pinnacle Peak Rd Ste 170, Phoenix, AZ 85027-1224 | 2020-06-17 |
| 1215559166 | Rashmi Kwatra | Hearing Instrument Specialist | 3301 N Miller Rd Ste 180, Scottsdale, AZ 85251-6490 | 2020-05-14 |
| 1487276606 | Jennifer Mccumbee | Hearing Instrument Specialist | 182 E 16th St Ste A, Yuma, AZ 85364-4738 | 2020-05-11 |
| 1447871769 | James Eric Lavin | Hearing Instrument Specialist | 1025 W 24th St Ste 1, Yuma, AZ 85364-8351 | 2020-04-27 |
| 1659914117 | Prescott Hearing LLC | Hearing Instrument Specialist | 1781 E State Rd 69, Ste 65, Prescott, AZ 86301-8630 | 2019-10-28 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.