Active NPI
Heather A. Crane, FNP
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1194074443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3017626
- Practice address
- 2406 W Broadway
Louisville, KY 40211-1008 - Phone
- (502) 775-1211
- Fax
- (502) 443-9391
- NPI assigned
- Sep 2, 2012
- 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 | 3017626 | KY | Primary |
| Family Nurse Practitioner | 363LF0000X | AP4652 | AZ |
Addresses
Primary practice location
2406 W Broadway
Louisville, KY 40211-1008
Mailing address
2406 W Broadway
Louisville, KY 40211-1008
Phone (502) 775-1211
Other practice location 1
E Hwy 160 to Rte 59
Kayenta, AZ 86033
Phone (928) 697-8154
Other practice location 2
1425 W Broadway
Louisville, KY 40203-2059
Phone (502) 479-8930
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyonlands Community Health Care | Past | Accepting new patients | |
| District Medical Group, Inc | Past | Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Federally Qualified Health Center (FQHC)
- Clifton, AZ
- NPI 1134568660
-
- Community Health Clinic/Center
- Chilchinbeto, AZ
- NPI 1154380392
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1194074443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111008",
"telephone_number": "502-775-1211",
"fax_number": "502-443-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111008",
"telephone_number": "502-775-1211",
"fax_number": "502-443-9391"
}
],
"practiceLocations": [
{
"address_1": "E Hwy 160 to Rte 59",
"address_purpose": "LOCATION",
"city": "Kayenta",
"state": "AZ",
"postal_code": "86033",
"country_code": "US",
"telephone_number": "928-697-8154",
"fax_number": "928-697-8559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 W Broadway",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402032059",
"country_code": "US",
"telephone_number": "502-479-8930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANE",
"first_name": "HEATHER",
"middle_name": "A.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-02",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3017626",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4652",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.