Individual provider Active NPI

Alyssa Crawford, APRN

  • Family Nurse Practitioner
  • Panhandle, TX
National Provider Identifier
1093328684
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1009396 Issued in TX
Practice address
102 US Highway 60
Panhandle, TX 79068-7200
Phone
(806) 532-2273
Fax
(806) 532-2276
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1009396 TX Primary
Nurse Practitioner 363L00000X 1009396 TX
Primary Care Nurse Practitioner 363LP2300X 1009396 TX

Addresses

Primary practice location

102 US Highway 60
Panhandle, TX 79068-7200

Mailing address

PO Box 10
Panhandle, TX 79068-0010
Phone (806) 532-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200831001009 TX Practitioner - Nurse Practitioner 6103243555 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Family Care LLC Nurse Practitioner CurrentSince Aug 14, 2020 Accepting new patients
Panhandle Family Care LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

1600 S FM 2381
Bushland, TX 79124
Phone (806) 310-9853

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alyssa.crawford.1@30520.direct.athenahealth.com

Organizations & group practices 2

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1093328684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790680010",
            "telephone_number": "806-532-2273",
            "fax_number": "806-532-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 US HIGHWAY 60",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790687200",
            "telephone_number": "806-532-2273",
            "fax_number": "806-532-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ALYSSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1009396",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1009396",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1009396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panhandle, TX

Sources for this page

Verify at the official NPI Registry.