Individual provider Active NPI

Erin Lynn Weller Crosbie, FNP-C

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1013312065
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001350 Issued in CA
Practice address
1301 W 12TH St
Long Beach, CA 90813-2720
Phone
(562) 264-4695
Fax
(562) 264-4273
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001350 CA Primary

Addresses

Primary practice location

1301 W 12TH St
Long Beach, CA 90813-2720

Mailing address

1301 W 12TH St
Long Beach, CA 90813-2720
Phone (562) 264-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908003095 CA Order and Referring Only - Nurse Practitioner 9638485584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ecrosbie239808@direct.memorialcare.org

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1013312065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 12TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132720",
            "telephone_number": "562-264-4695",
            "fax_number": "562-264-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132720",
            "telephone_number": "562-264-4695",
            "fax_number": "562-264-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBIE",
        "first_name": "ERIN",
        "middle_name": "LYNN WELLER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.