Mia McCallum-Crawford, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN 002074 Issued in NV

Practice address

3140 S Durango Dr Ste 100B
Las Vegas, NV 89117-9190

Phone

(702) 273-3680

Fax

(702) 800-3112

NPI assigned

Dec 30, 2015

Last updated

Jul 7, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mia.crawford.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Green Valley

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1073341079
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Queensridge

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1134847965
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group North Las Vegas

  • Family Medicine Physician
  • North Las Vegas, NV
  • NPI 1366284143
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Sahara

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1407517436
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Union Village

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1700468204
  NPD (past)
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Henderson

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1801304043
  NPD (past)
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Doral, FL
  • NPI 1154097491
  NPD (past)
• True North Health Navigation LLC

  dba Dispatch Health

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1043675325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PASEO VERDE PKWY STE 145",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747142",
            "telephone_number": "702-820-5713",
            "fax_number": "702-820-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S DURANGO DR STE 100B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179190",
            "telephone_number": "702-273-3680",
            "fax_number": "702-800-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S East Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392342",
            "country_code": "US",
            "telephone_number": "941-827-0701",
            "fax_number": "941-365-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 21st Ave W Ste D",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095642",
            "country_code": "US",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5717 21st Ave West",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "34209",
            "country_code": "US",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLUM-CRAWFORD",
        "first_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11020166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN 002074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia McCalla Aarons
• Daulton McCalla
• Shelando Alecia McCalla
• Michelle McCallie
• Hannah Nicole McCallson
• Dorothy McCallum
• James McCallum Jr.
• Myka McCallum
• Latasha McCalop
• Brian McCambridge

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.