Individual provider Active NPI

Hollyn Sue Johanna Crowe, D.O.

  • Pediatrics Physician
  • West Richland, WA
National Provider Identifier
1033470042
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OP60854370 Issued in WA
Practice address
3950 Keene Rd
West Richland, WA 99353
Phone
(509) 942-3130
Fax
(509) 628-8335
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO170749 OR
Pediatrics Physician 208000000X OP60854370 WA Primary

Addresses

Primary practice location

3950 Keene Rd
West Richland, WA 99353

Mailing address

3950 Keene Rd
West Richland, WA 99353-4901
Phone (509) 942-3130

Other practice location 1

710 Sunset Dr Ste E
LA Grande, OR 97850-1200
Phone (541) 663-3150

Other practice location 2

710 Sunset Dr Ste E
LA Grande, OR 97850-1200
Phone (541) 663-3150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hcrowe834844@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022001777 WA Practitioner - Pediatric Medicine 5496008435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

3950 Keene Rd
West Richland, WA 99353-4901
Phone (509) 942-3130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO170749ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Sep 1, 2018 Accepting new patients

Locations

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

3950 Keene Rd
West Richland, WA 99353
Phone (509) 942-3130

Interoperability endpoints

  • Direct secure messaging: hcrowe834844@wm.providencedirect.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1033470042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 KEENE RD",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534901",
            "telephone_number": "509-942-3130",
            "fax_number": "509-628-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KEENE RD",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "99353",
            "telephone_number": "509-942-3130",
            "fax_number": "509-628-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Sunset Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501200",
            "country_code": "US",
            "telephone_number": "541-663-3150",
            "fax_number": "541-975-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Sunset Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501200",
            "country_code": "US",
            "telephone_number": "541-663-3150",
            "fax_number": "541-975-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWE",
        "first_name": "HOLLYN",
        "middle_name": "SUE JOHANNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO170749",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP60854370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcrowe834844@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3950 Keene Rd",
            "city": "West Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Richland, WA

Sources for this page

Verify at the official NPI Registry.