Individual provider Active NPI

Felice Fay Crowder, D.O.

  • General Practice Physician
  • New Braunfels, TX
National Provider Identifier
1104042795
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J9652 Issued in TX
Practice address
1040 N Walnut Ave
Suite B
New Braunfels, TX 78130-5312
Phone
(409) 794-2947
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J9652 TX Primary

Addresses

Primary practice location

1040 N Walnut Ave
Suite B
New Braunfels, TX 78130-5312

Mailing address

4804 North Navarro Street
Victoria, TX 77904-2079
Phone (361) 576-0330

Other identifiers 1

IdentifierTypeStateIssuer
G17078OtherTXUPIN NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000630 TX Order and Referring Only - Family PracticePractitioner - Family Practice 4789699869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
J9652TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Center, P.a. Hospice and Palliative Medicine CurrentSince Nov 3, 2024 Accepting new patients
Health and Human Services Commission Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

4804 N Navarro St
Victoria, TX 77904
Phone (361) 576-0330

Organizations & group practices 3

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1104042795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 NORTH NAVARRO STREET",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042079",
            "telephone_number": "361-576-0330",
            "fax_number": "361-576-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N WALNUT AVE",
            "address_2": "SUITE B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305312",
            "telephone_number": "409-794-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "FELICE",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J9652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN NUMBER",
            "identifier": "G17078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.