Individual provider Active NPI

Debra Lynn Crowder, NM

  • Midwife
  • Beckley, WV
National Provider Identifier
1205003266
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
52452 Issued in WV
Practice address
1731 Harper Rd
Beckley, WV 25801-3311
Phone
(304) 255-1541
Fax
(304) 253-7067
NPI assigned
May 9, 2008
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 43769 WV
Midwife 176B00000X 52452 WV Primary

Addresses

Primary practice location

1731 Harper Rd
Beckley, WV 25801-3311

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 252-8324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001689 WV Practitioner - Certified Nurse Midwife (CNM) 1658662978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
43769WVMDRegistered Nurse
52452WVMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince May 21, 2016 Accepting new patients
Community Health Systems, Inc. CurrentSince May 21, 2016 Accepting new patients

Locations

1731 Harper Rd
Beckley, WV 25801
Phone (304) 255-1251

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333

Interoperability endpoints

  • Direct secure messaging: debra.crowder.1@14333.direct.athenahealth.com
  • Direct secure messaging: debra.crowder@wvafn.hcadirect.net

Organizations & group practices 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1205003266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013311",
            "telephone_number": "304-255-1541",
            "fax_number": "304-253-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "NM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "43769",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WV",
            "license": "52452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.