Individual provider Active NPI

Nannette E Crowell, M.D.

  • Ophthalmology Physician
  • Sedro Woolley, WA
National Provider Identifier
1154368538
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00022248 Issued in WA
Practice address
2131 Hospital Dr
Sedro Woolley, WA 98284-4301
Phone
(360) 416-6735
NPI assigned
Jun 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00022248 WA Primary

Addresses

Primary practice location

2131 Hospital Dr
Sedro Woolley, WA 98284-4301

Mailing address

2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone (360) 416-6735

Other practice location 1

26910 92nd Ave NW Ste C6
Stanwood, WA 98292-5437
Phone (360) 629-4180

Other practice location 2

109 NE Birch St
Coupeville, WA 98239-3133
Phone (360) 678-2020

Other practice location 3

1110 12th St
Anacortes, WA 98221-2104
Phone (360) 293-9312

Other practice location 4

2100 Little Mountain Ln
Mount Vernon, WA 98274-8752
Phone (360) 416-6735

Other identifiers 2

IdentifierTypeStateIssuer
180003709OtherRAILROAD MEDICARE
1008481MedicaidWA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00022248WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates Surgery Center Inc PastSince May 12, 2008 Accepting new patients
North Cascade Eye Associates PS Ophthalmology Past Accepting new patients
North Cascade Eye Associates PS Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://b77485b4-c1a7-4e91-916d-278628085702.gastro.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154368538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HOSPITAL DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844301",
            "telephone_number": "360-416-6735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26910 92nd Ave NW Ste C6",
            "address_purpose": "LOCATION",
            "city": "Stanwood",
            "state": "WA",
            "postal_code": "982925437",
            "country_code": "US",
            "telephone_number": "360-629-4180",
            "fax_number": "360-424-6954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 NE Birch St",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393133",
            "country_code": "US",
            "telephone_number": "360-678-2020",
            "fax_number": "360-678-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 12th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212104",
            "country_code": "US",
            "telephone_number": "360-293-9312",
            "fax_number": "360-424-6954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Little Mountain Ln",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982748752",
            "country_code": "US",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "NANNETTE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00022248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180003709",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008481",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.