NIKKI R CRAWFORD PAC NPI 1508915679

NPI Information

NPI: 1508915679
Provider Name: NIKKI R CRAWFORD, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
33501 1ST WAY S
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 838-2400
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Nikki R Crawford, PAC is a surgical physician assistant in Federal Way, WA. Nikki R Crawford, PAC NPI is 1508915679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33501 1ST WAY S
FEDERAL WAY, WA
ZIP 98003-208
Phone: (253) 838-2400

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA10004560	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0039594	OTHER	WASHINGTON	LABOR AND INDUSTRIES #
2	7374WI	OTHER	WASHINGTON	BLUE SHIELD #
3	8388159	MEDICAID	WASHINGTON
4	8800384	MEDICARE PIN	WASHINGTON
5	P00088504	OTHER	WASHINGTON	RAILROAD MEDICARE #
6	US7831554	OTHER	WASHINGTON	AETNA SPECIALIST PIN
7	Q06561	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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