Judy Crouch, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704149014 Issued in MI

Practice address

1212 E Sherman Blvd
Muskegon, MI 49444-1879

Phone

(231) 672-3648

NPI assigned

Jul 27, 2006

Last updated

Feb 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mercy Health Partners

  dba Trinity Health Medical Group

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
  • NPI 1154910172
  NPD (past)
• Mercy Health Partners Sub-Specialty Services

  dba Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1124042700

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1144234394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441879",
            "telephone_number": "231-672-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441879",
            "telephone_number": "231-672-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JUDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704149014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4623507",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roderick Crockett
• Amber Rose Croff
• Elizabeth Lynne Cross, AGNP-C
• Jeannie Winona Catherine Cross
• Crossroads of Muskegon , LLC
• Natalie Charlotte Crowe
• Laurie Crowell
• Summer Nicole Crowell, OT
• Allan Warren Crummett, ED.D.
• Carrie Ann Crummett, LMSW

• Nurse Practitioner in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.