Individual provider Active NPI

Danielle Kanavy Crouse, NP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1164900049
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.023594 Issued in OH
Practice address
9600 Pulaski Park Dr Ste 103
Baltimore, MD 21220-1472
Phone
(443) 725-8245
Fax
(443) 725-8217
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0001142337 VA
Nurse Practitioner 363L00000X APRN.CNP.023594 OH Primary

Addresses

Primary practice location

9600 Pulaski Park Dr Ste 103
Baltimore, MD 21220-1472

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001142337VAMDFamily Medicine Physician
APRN.CNP.023594OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Emergency Services, LLC Nurse Practitioner CurrentSince Jan 17, 2021 Accepting new patients
Sunrise Medical Group Inc CurrentSince Apr 20, 2020 Accepting new patients
Mid-Ohio Emergency Group, LLC Nurse Practitioner CurrentSince Feb 1, 2019 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1720 Ohiohealth Way
Ashland, OH 44805
Phone (567) 309-4000

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1164900049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PULASKI PARK DR STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201472",
            "telephone_number": "443-725-8245",
            "fax_number": "443-725-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "DANIELLE",
        "middle_name": "KANAVY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0001142337",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.