Individual provider Active NPI

Nora Poynter Croucher, DEVELOPMENTAL INTERV

  • Developmental Therapist
  • Berea, KY
National Provider Identifier
1174732655
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
12121 N Wilderness Rd
Berea, KY 40403-9300
Phone
(859) 302-3655
Fax
(606) 256-3131
NPI assigned
May 22, 2007
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

12121 N Wilderness Rd
Berea, KY 40403-9300

Mailing address

12121 N Wilderness Rd
Berea, KY 40403-8457
Phone (859) 302-3655

Other identifiers 1

IdentifierTypeStateIssuer
815OtherKYFIRST STEPS EARLY INTERVE

Other names 1

  • Joann Poynter Croucher Professional name

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Kare Educational Services LLC Past Accepting new patients

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1174732655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 N WILDERNESS RD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404038457",
            "telephone_number": "859-302-3655",
            "fax_number": "606-256-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 N WILDERNESS RD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039300",
            "telephone_number": "859-302-3655",
            "fax_number": "606-256-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCHER",
        "first_name": "NORA",
        "middle_name": "POYNTER",
        "name_prefix": "Mrs.",
        "credential": "DEVELOPMENTAL INTERV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS EARLY INTERVE",
            "identifier": "815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "CROUCHER",
            "middle_name": "POYNTER",
            "credential": "DEVELOPEMTNAL INTERV",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.