Individual provider Active NPI

Kali Crawford, APRN

  • Gerontology Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1073162772
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11033856 Issued in FL
Practice address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone
(813) 779-6303
Fax
(786) 868-0012
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3016318 KY
Acute Care Nurse Practitioner 363LA2100X 104355 WV
Gerontology Nurse Practitioner 363LG0600X APRN11033856 FL Primary

Addresses

Primary practice location

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 399-6727

Other practice location 1

800 Rose St
Lexington, KY 40536-3804
Phone (859) 323-6047

Other practice location 2

1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 399-6727

Other identifiers 3

IdentifierTypeStateIssuer
0378215MedicaidOH
7100635390MedicaidKY
1073162772MedicaidWV

Other names 1

  • Kali Edmunds Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kali.crawford@direct.chhi.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191223000680 WV Practitioner - Nurse Practitioner 8921432162 Reassigns benefits to 1 organization
I20220104000098 TX Practitioner - Nurse Practitioner 8921432162 Reassigns benefits to 1 organization
I20250109004123 FL Practitioner - Nurse Practitioner 8921432162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Wesley Chapel, FL 33543-5453

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3016318KYMDAcute Care Nurse Practitioner
APRN11033856FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carefront Medical Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC CurrentSince May 29, 2020 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC CurrentSince May 26, 2020 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Feb 5, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Feb 5, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Feb 5, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Feb 5, 2025 Accepting new patients
Kentucky Medical Services Foundation, Inc Past Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1073162772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-399-6727",
            "fax_number": "304-399-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "786-868-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405363804",
            "country_code": "US",
            "telephone_number": "859-323-6047",
            "fax_number": "859-257-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Hal Greer Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013804",
            "country_code": "US",
            "telephone_number": "304-399-6727",
            "fax_number": "304-399-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KALI",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3016318",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "104355",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11033856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378215",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100635390",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073162772",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kali.crawford@direct.chhi.org",
            "affiliation": "N",
            "address_1": "1340 Hal Greer Blvd",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "EDMUNDS",
            "credential": "AGACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.