Andrea Crandall, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0991394 Issued in CO

Practice address

9235 Crown Crest Blvd
Suite 100
Parker, CO 80138-8880

Phone

(720) 458-6543

Fax

(720) 458-6544

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Kosares Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9262/brand/1/csg/1/fhir/r4

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.

• Lowry Pediatrics, PC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1912133356
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1013440726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7856 E 22ND PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "720-458-6543",
            "fax_number": "720-458-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "ANDREA",
        "credential": "PNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0991394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KOSARES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Cox, PA-C
• Stephanie Marie Cox, MS RN CNS
• Molly Cozza, LSW
• Heather Crabbe, COTA/L
• Zachary Aaron Thomas Cramblit
• Jessica Cranson, LPCC-INTERN
• Daniel Charles Crawford
• Svitlana Crawley, FNP-C
• Alexander Creech, LSW
• Gerald Thomas Crenshaw

• Pediatric Nurse Practitioner in Parker, CO
• Providers in Parker, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.