Susan Crowder, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

25355 Issued in NV

Practice address

6375 W Charleston Blvd
Ste A100
Las Vegas, NV 89146-1139

Phone

(702) 253-0818

NPI assigned

Sep 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1043561426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 W CHARLESTON BLVD",
            "address_2": "STE A100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 W CHARLESTON BLVD",
            "address_2": "STE A100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461139",
            "telephone_number": "702-253-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NV",
            "license": "25355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jareah Crowder Lyons
• Ja'Kisha Crowder-Lyons
• Jada Crowder
• Manon Crowder
• Stephanie Crowder
• Mairin Crowe Hernandez
• Tiyesha Crowe-Gonzales
• Emily Crowe, D.C.
• Samantha Raevyn Crowe
• Sharisse Crowe

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.