Active NPI
Elizabeth Adams Crowder
- Home Health Aide
- Greenville, SC
National Provider Identifier
1104098581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 112788R
- Practice address
- 400 Summit Drive
12D
Greenville, SC 29609 - Phone
- (864) 298-0053
- NPI assigned
- Mar 26, 2008
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 112788R | SC | Primary |
Addresses
Primary practice location
400 Summit Drive
12D
Greenville, SC 29609
Mailing address
400 Summit Drive
12D
Greenville, SC 29609
Phone (864) 298-0053
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 |
|---|---|---|---|
| 112788R | SC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1104098581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SUMMIT DRIVE",
"address_2": "12D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29609",
"telephone_number": "864-298-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SUMMIT DRIVE",
"address_2": "12D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29609",
"telephone_number": "864-298-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "ELIZABETH",
"middle_name": "ADAMS",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "112788R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.