Active NPI
Quinnita Crowder
- Community Health Worker
- Yukon, OK
National Provider Identifier
1174946735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 20
- Practice address
- 3413 Nottingham PL
Yukon, OK 73099-3457 - Phone
- (405) 388-1747
- NPI assigned
- Jan 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 20 | OK | Primary |
Addresses
Primary practice location
3413 Nottingham PL
Yukon, OK 73099-3457
Mailing address
3413 Nottingham PL
Yukon, OK 73099-3457
Phone (405) 388-1747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446461250 | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20 | OK | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1174946735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 NOTTINGHAM PL",
"city": "YUKON",
"state": "OK",
"postal_code": "730993457",
"telephone_number": "405-388-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 NOTTINGHAM PL",
"city": "YUKON",
"state": "OK",
"postal_code": "730993457",
"telephone_number": "405-388-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "QUINNITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OK",
"license": "20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446461250",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.