TINA I CRAWFORD (NPI# 1598244915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598244915 |
Entity Type | Individual |
Full Name | TINA I CRAWFORD |
Credential | RN |
Practice Address |
2079 Edgewater Dr Pekin IL 61554-7833 |
Practice Telephone | 3093822006 |
Practice Fax Number | 3093822007 |
Mailing Telephone | 3093822006 |
Mailing Fax Number | 3093822007 |
Enumeration Date | 2018-08-07 |
Last Update Date | 2018-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
041.320339 | IL | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164970240 | Tina Hudspeth Crawford | Contractor | 315 Padre Ln, Victoria, TX 77905-2642 | 2016-09-16 |
1306481163 | Tina Marie Crawford | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2019-11-14 |
1174932362 | Tina Crawford | Student in an Organized Health Care Education/Training Program | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2014-08-13 |
Street Address |
2079 EDGEWATER DR |
City | PEKIN |
State | IL |
Zip Code | 61554-7833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
1558838409 | Darlene Kay Harrison | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554-7833 | 2018-10-30 |
1346524899 | Bridgeway Inc | Community/Behavioral Health | 2079 Edgewater Dr, Pekin, IL 61554 | 2011-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
1144380882 | Kevin Conroy | Dentist | 13 Oh Ave, Pekin, IL 61554 | 2006-12-11 |
Find all providers in zip 61554 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417579103 | Michele Ann Becker | Registered Nurse | 2030 Seminary Rd, Woodstock, IL 60098-6009 | 2020-05-15 |
1710519046 | Shaw Community Integration Services | Registered Nurse | 8119 S Vernon Ave, Chicago, IL 60619-4913 | 2020-02-05 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1336550557 | Jill E Divita | Registered Nurse | 1230 N. Highland Ave, Aurora, IL 60506 | 2014-05-09 |
1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
1043502073 | Bethany A Young | Registered Nurse | 1305 E Indian Trl, Aurora, IL 60505-1600 | 2011-05-10 |
1811222086 | Mary Antos | Registered Nurse | 10002 S Komensky Ave, Oak Lawn, IL 60453-4140 | 2009-10-06 |
1427298298 | Mercy Chirpich | Registered Nurse | 18w082 Jamestown Ln, Villa Park, IL 60181-3865 | 2009-03-05 |
1326232372 | Marilyn Dam Rabolt | Registered Nurse | 112 Marryat Rd, Trout Valley, IL 60013-2644 | 2007-09-04 |
1518034784 | Marilyn Margarita Weaver | Registered Nurse | 2126 Marston Ln, Flossmoor, IL 60422-1334 | 2006-11-30 |
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.