Active NPI
Lindsay Crawford, NP-PP
- Family Nurse Practitioner
- La Grande, OR
National Provider Identifier
1164838629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201500188NP-PP
- Practice address
- 506 4TH St
La Grande, OR 97850 - Phone
- (541) 663-3138
- Fax
- (541) 975-5120
- NPI assigned
- Jul 5, 2014
- Last updated
- Jun 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-1446A | ID | |
| Family Nurse Practitioner | 363LF0000X | 201500188NP-PP | OR | Primary |
Addresses
Primary practice location
506 4TH St
La Grande, OR 97850
Mailing address
PO Box 3290
La Grande, OR 97850-7290
Phone (541) 963-1967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500685404 | Medicaid | OR |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1446A | ID | MD | Family Nurse Practitioner |
| 201500188NP-PP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1164838629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3290",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978507290",
"telephone_number": "541-963-1967",
"fax_number": "541-963-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 4TH ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "97850",
"telephone_number": "541-663-3138",
"fax_number": "541-975-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "LINDSAY",
"credential": "NP-PP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-05",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1446A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201500188NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500685404",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.