Individual provider Active NPI

Linda M Crump, ARNP

  • Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1144229998
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003131 Issued in KY
Practice address
1717 High St
Suite 1a
Hopkinsville, KY 42240-6300
Phone
(270) 885-0570
Fax
(270) 885-0573
NPI assigned
Jul 14, 2005
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3003131 KY Primary
Adult Health Nurse Practitioner 363LA2200X 1073349 KY

Addresses

Primary practice location

1717 High St
Suite 1a
Hopkinsville, KY 42240-6300

Mailing address

1717 High St
Suite 1a
Hopkinsville, KY 42240-6300
Phone (270) 885-0570

Other identifiers 3

IdentifierTypeStateIssuer
65941031MedicaidKY
000000315837OtherKYANTHEM
78006533MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040209000212 KY Practitioner - Nurse Practitioner 4082508478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

1717 High St
Suite 1a
Hopkinsville, KY 42240-6300
Phone (270) 885-0570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003131KYMDNurse Practitioner
1073349KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner CurrentSince Jan 10, 2019 Accepting new patients
Jennie Stuart Medical Center Inc Nurse Practitioner Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jan 10, 2019 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Past Accepting new patients

Locations

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1717 High St
Ste 1A
Hopkinsville, KY 42240
Phone (270) 885-0570

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1144229998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST",
            "address_2": "SUITE 1A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-885-0570",
            "fax_number": "270-885-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST",
            "address_2": "SUITE 1A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-885-0570",
            "fax_number": "270-885-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003131",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "1073349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941031",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000315837",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78006533",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.