Capucine Crowder, CNA,HHA,PCA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA Issued in IL

Practice address

1307 W 110TH St
Chicago, IL 60643-3613

Phone

(312) 535-1602

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1235843111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 110TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433613",
            "telephone_number": "312-535-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 110TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433613",
            "telephone_number": "312-535-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "CAPUCINE",
        "name_prefix": "Miss",
        "credential": "CNA,HHA,PCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": "NA",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IL",
            "license": "NA",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CO",
            "license": "NA0037871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Anthony Crotteau, M.D.
• Crotty Pediatrics, LLC
• Daniel Jay Crotty
• Jack Dyer Crouch III
• Joni Crounse, M.A.
• Tyrone Richard Crowder
• Cameron Francis Crowe, DMD
• Courtney Ann Crowe
• Erin Crowe
• Jami Lynn Crowe, PA-C

• Nurse's Aide in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.