ALAN CRANDALL (NPI# 1871949412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871949412 |
| Entity Type | Individual |
| Full Name | ALAN CRANDALL |
| Other Name | ALAN CRANDALL |
| Credential | M.A. |
| Practice Address |
26598 Trinilas Dr Punta Gorda FL 33983-5338 |
| Practice Telephone | 9418158866 |
| Mailing Telephone | 9418158866 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH14174 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002974 | Alan E Crandall | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2017-09-19 |
| 1083704670 | Alan S. Crandall | Ophthalmology | 4400 S 700 E, 240, Salt Lake City, UT 84107-3053 | 2006-10-13 |
| Street Address |
26598 TRINILAS DR |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33983-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114327244 | Alexandra Fichetti | Counselor | 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 | 2014-08-26 |
| 1164749719 | Larry D. Rand | Physician Assistant | 27289 Voyageur Dr., Punta Gorda, FL 33983 | 2010-04-22 |
| 1912039223 | Wal-mart Stores, Inc. | Technician/Technologist | 375 Kings Highway, Port Charlotte, FL 33983 | 2007-03-12 |
| 1669552360 | Paul Edward Tuma | Pharmacist | 2000 Kings Highway, Port Charlotte, FL 33983 | 2006-10-17 |
| 1013007145 | Amy Louise Houser | Social Worker | 26559 Barraquilla Avenue, Punta Gorda, FL 33983 | 2006-10-12 |
| 1679560262 | Deep Creek Rnc, LLC | Skilled Nursing Facility | 25325 Rampart Blvd, Port Charlotte, FL 33983 | 2005-09-29 |
| 1447677208 | Karen Partridge | Pharmacist | 375 Kings Hwy, Wal-mart Pharmacy 3349, Port Charlotte, FL 33983 | 2014-03-18 |
| 1104261650 | North Port Retirement Centers, Inc. | Assisted Living Facility | 24949 Sandhill Blvd, Punta Gorda, FL 33983 | 2013-05-09 |
| 1194864009 | Petrija Jen Do Pa | Personal Emergency Response Attendant | 24451 Sandhill Blvd, Suite A, Punta Gorda, FL 33983 | 2007-02-06 |
| 1518414994 | Kristen Cuellar | Clinic/Center | 2428 Nuremberg Blvd, Punta Gorda, FL 33983-2609 | 2016-09-02 |
| Find all providers in zip 33983 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013395326 | Elizabeth Porfert | Counselor | 10033 Winding River Rd, Punta Gorda, FL 33950-1302 | 2015-05-07 |
| 1114327244 | Alexandra Fichetti | Counselor | 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 | 2014-08-26 |
| 1396088837 | Aileen Brandt | Counselor | 7444 S Seagrape Rd, Punta Gorda, FL 33955-1037 | 2013-04-03 |
| 1629340823 | Kelley Sgroi | Counselor | 252 W Marion Ave, # 1134, Punta Gorda, FL 33950-4442 | 2012-02-02 |
| 1427340116 | Adam Quinn | Counselor | 7560 Dracena, Punta Gorda, FL 33955-1171 | 2011-05-12 |
| 1528205713 | Donna Victoria Taylor | Counselor | 8330 Alan Blvd, Punta Gorda, FL 33982-2321 | 2009-01-09 |
| 1275719171 | Amanda Mcdonald Kennard | Counselor | 207 Cross St, Ste 103, Punta Gorda, FL 33950-4445 | 2008-01-10 |
| 1871777599 | Chrisanna G Harrington | Counselor | 252 W Marion Ave Ste 1133, Punta Gorda, FL 33950-4442 | 2007-12-18 |
| 1679638365 | Randy M Cisne | Counselor | 309 Tamiami Trl Ste 5, Punta Gorda, FL 33950-4875 | 2006-12-25 |
| 1770596199 | Leslie L Renner | Counselor | 25166 Marion Ave, Ste 112, Punta Gorda, FL 33950-4017 | 2006-08-15 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33983 |
Please comment or provide details below to improve the information on ALAN CRANDALL.
| 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.