Individual provider Active NPI

Stevani Crowley, RN, FNP

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1245736388
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137042 Issued in TX
Practice address
115 Abner Jackson Pkwy Ste C
Lake Jackson, TX 77566-5157
Phone
(979) 297-9086
NPI assigned
Apr 5, 2018
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP137042 TX Primary

Addresses

Primary practice location

115 Abner Jackson Pkwy Ste C
Lake Jackson, TX 77566-5157

Mailing address

115 Abner Jackson Pkwy Ste C
Lake Jackson, TX 77566-5157
Phone (979) 297-9086

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP137042TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: stevani.crowley.1@15750.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1245736388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ABNER JACKSON PKWY STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665157",
            "telephone_number": "979-297-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ABNER JACKSON PKWY STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665157",
            "telephone_number": "979-297-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "STEVANI",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.