Active NPI
Matthew Thomas Crowley, CNP
- Family Nurse Practitioner
- Wooster, OH
National Provider Identifier
1205327178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-CNP-020900
- Practice address
- 128 E Milltown Rd Ste 105
Wooster, OH 44691-1276 - Phone
- (330) 345-8060
- NPI assigned
- May 25, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-CNP-020900 | OH | Primary |
Addresses
Primary practice location
128 E Milltown Rd Ste 105
Wooster, OH 44691-1276
Mailing address
128 E Milltown Rd Ste 105
Wooster, OH 44691-1276
Phone (330) 345-8060
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-CNP-020900 | OH | MD | Family Nurse Practitioner |
| APRN.CNP.020900 | OH | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1205327178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD STE 105",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911276",
"telephone_number": "330-345-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD STE 105",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911276",
"telephone_number": "330-345-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN-CNP-020900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.