Active NPI
Jessie Crumpton
- Licensed Practical Nurse
- Harker Heights, TX
National Provider Identifier
1073105003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 209280
- Practice address
- 201 E Central Texas Expy Ste 200
Harker Heights, TX 76548-2777 - Phone
- (254) 553-5901
- Fax
- (254) 680-4387
- NPI assigned
- Feb 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 209280 | TX | Primary |
Addresses
Primary practice location
201 E Central Texas Expy Ste 200
Harker Heights, TX 76548-2777
Mailing address
201 E Central Texas Expy Ste 200
Harker Heights, TX 76548-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209280 | TX | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1073105003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E CENTRAL TEXAS EXPY STE 200",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765482777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E CENTRAL TEXAS EXPY STE 200",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765482777",
"telephone_number": "254-553-5901",
"fax_number": "254-680-4387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMPTON",
"first_name": "JESSIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "209280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.