Active NPI
Lonnie Gus Crawford III, RN
- Registered Nurse
- El Paso, TX
National Provider Identifier
1184090318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 254046
- Practice address
- 14704 Horizon Vista Ave
El Paso, TX 79928-8602 - Phone
- (281) 627-9886
- NPI assigned
- Aug 11, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 254046 | TX | Primary |
Addresses
Primary practice location
14704 Horizon Vista Ave
El Paso, TX 79928-8602
Mailing address
1600 Montana Ave
El Paso, TX 79902-5622
Phone (915) 887-3410
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254046 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1184090318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MONTANA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025622",
"telephone_number": "915-887-3410",
"fax_number": "915-351-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14704 HORIZON VISTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799288602",
"telephone_number": "281-627-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "LONNIE",
"middle_name": "GUS",
"name_suffix": "III",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "254046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.