Active NPI
Felice Fay Crowder, D.O.
- General Practice Physician
- New Braunfels, TX
National Provider Identifier
1104042795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- J9652
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G17078 | Other | TX | UPIN 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130612000630 | TX | Order and Referring Only - Family Practice | 4789699869 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9652 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Center, P.a. | Hospice and Palliative Medicine | Current | 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.
-
- General Practice Physician
- Victoria, TX
- NPI 1528280914
Hospice and Palliative Medicine
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Intellectual Disabilities Intermediate Care Facility
- Carlsbad, TX
- NPI 1346333945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.