DR. THERESA BROWN CRANDALL (NPI# 1356677223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356677223 |
| Entity Type | Individual |
| Full Name | DR. THERESA BROWN CRANDALL |
| Other Name | DR. THERESA BROWN CRANDALL |
| Credential | D.C. |
| Practice Address |
13910 Fivay Rd Ste. 10 Hudson FL 34667-7154 |
| Practice Telephone | 7278623509 |
| Practice Fax Number | 7278623500 |
| Mailing Telephone | 7278623509 |
| Mailing Fax Number | 7278623500 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10521 | FL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CHIRO08571 | GA | Chiropractic Providers |
| Street Address |
13910 FIVAY RD STE. 10 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821030115 | Genesis Health Development Inc | Clinic/Center | 13910 Fivay Rd, Suite 6-7, Hudson, FL 34667-7154 | 2006-06-12 |
| 1194183780 | Ipatia Magnus | Nurse Practitioner | 13910 Fivay Rd, Suite 1, Hudson, FL 34667-7154 | 2016-02-10 |
| 1225436009 | Amber Gordon | Speech-Language Pathologist | 13910 Fivay Rd, 6-7, Hudson, FL 34667-7154 | 2014-12-10 |
| 1245658236 | St. Verena LLC. | Pharmacy | 13910 Fivay Rd, Suite 3, Hudson, FL 34667-7154 | 2014-04-07 |
| 1861813123 | Jennifer Theresa Larsson | Speech-Language Pathologist | 13910 Fivay Rd, Suite 6, Hudson, FL 34667 | 2014-01-03 |
| 1952673766 | Coastal Spine and Rehab Center LLC | Chiropractor | 13910 Fivay Rd, Ste 10, Hudson, FL 34667-7154 | 2012-02-09 |
| 1396998456 | Ludmila Victorovna Treep | Massage Therapist | 13910 Fivay Rd, Hudson, FL 34667-7154 | 2008-11-02 |
| 1063695310 | Loretta L Mercer Inc | Community/Behavioral Health | 13910 Fivay Rd, Suite One, Hudson, FL 34667-7154 | 2007-12-10 |
| 1801973318 | The Center for Independence Inc | Day Training, Developmentally Disabled Services | 13910 Fivay Rd, Suite 8, Hudson, FL 34667 | 2006-11-01 |
| 1215946058 | John C Femenella | Nurse Practitioner | 13910 Fivay Rd, Suite One, Hudson, FL 34667 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949515 | Hudson Chiropractic Center, Inc. | Chiropractor | 43 Broad St Ste A102, Hudson, MA 01749-2558 | 2020-10-11 |
| 1356964787 | Emily Fair | Chiropractor | 351 Fairview Ave Ste 600, Hudson, NY 12534-1270 | 2020-05-20 |
| 1871052167 | North Peak Chiropractic LLC | Chiropractor | 596 Outpost Cir Ste J, Hudson, WI 54016-7889 | 2019-03-15 |
| 1144719121 | Trinity Chiropractic Health Center LLC | Chiropractor | 1830 Webster St Ste 130, Hudson, WI 54016-9321 | 2018-05-06 |
| 1487177176 | Michael Pyfrom | Chiropractor | 453 State St, Hudson, NY 12534-1900 | 2017-07-25 |
| 1447603592 | The Mvmt Company LLC | Chiropractor | 607 Vine St, Hudson, WI 54016-1722 | 2016-07-13 |
| 1518354109 | Brady Wernlund | Chiropractor | 516 2nd St Ste 102, Hudson, WI 54016-1597 | 2015-04-21 |
| 1265822118 | Healthmax Chiropractic of Hudson, LLC | Chiropractor | 1810 Webster Square, Ste. 5, Hudson, WI 54016-9324 | 2015-01-30 |
| 1912396862 | Cook and Henriksen Chiropractic LLC | Chiropractor | 529 2nd St, Ste D, Hudson, WI 54016-1561 | 2015-01-15 |
| 1750789640 | Shelby Ann Henriksen | Chiropractor | 529 2nd St Ste D, Hudson, WI 54016-2507 | 2014-12-09 |
| Find all providers in HUDSON | ||||
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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.