CMS-1500 Box 24J / 33a • NPI
1457861940
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SP0808X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
3875 N 1ST AVE, TUCSON, AZ, 85719-1301
✓ 9-Digit EDI 837 ZIP+4 (85719-1301)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1457861940 (LINDSEY LEARY CRANDALL, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1457861940 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LINDSEY LEARY CRANDALL, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health NUCC Code: 364SP0808X (Clinical Nurse Specialist, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3875 N 1ST AVE, TUCSON, AZ, 85719-1301 |
| Practice Telephone / Fax | Tel: (520) 225-0584 |
| Administrative Mailing Address | 12138 POWER RD, QUANTICO, VA, 22134-2008 |
| Enumeration & Last Sync | Enumerated: 2017-10-10 | CMS Record Updated: 2023-07-17 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (364SP0808X)
What Does Taxonomy Code 364SP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LINDSEY LEARY CRANDALL, PA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: N/A | License: Verified | Primary: Secondary |
364SP0808X — Clinical Nurse Specialist, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health | State: AZ | License: 9580 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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