Ida McCrae, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

086500 Issued in MO

Practice address

1 Hospital Dr
Doniphan, MO 63935-1274

Phone

(573) 996-7148

Fax

(573) 996-4041

NPI assigned

Apr 19, 2006

Last updated

Feb 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1003871393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639020989",
            "telephone_number": "573-778-0020",
            "fax_number": "573-778-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351274",
            "telephone_number": "573-996-7148",
            "fax_number": "573-996-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "IDA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "086500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Lovelace
• Christina L Lowe
• Brandi Nicole Lunsford
• Amanda Jill McAfee
• Michael McAfee
• Meramec Emergency Physicians, LLP
• Mickey Chiropractic, Inc (Genesis Family Chiropractic and Wellness)
• Tina Marie Moe, FNP
• Regina Lynne Moore, RPA/RA
• Richard E Musser Jr., D.O.

• Family Nurse Practitioner in Doniphan, MO
• Providers in Doniphan, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.