Individual provider Active NPI

Karen Denese Taylor-Crawford, MD

  • Child & Adolescent Psychiatry Physician
  • Willmar, MN
National Provider Identifier
1255444311
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
61895 Issued in MN
Practice address
1701 Technology Dr NE
Willmar, MN 56201-2275
Phone
(320) 231-5421
Fax
(320) 231-5901
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036056639 IL
Child & Adolescent Psychiatry Physician 2084P0804X 61895 MN Primary

Addresses

Primary practice location

1701 Technology Dr NE
Willmar, MN 56201-2275

Mailing address

3208 W Lake St # 23
Minneapolis, MN 55416-4512

Other identifiers 1

IdentifierTypeStateIssuer
61895OtherMNSTATE LICENSING BOARD

Other names 1

  • Karen D Crawford Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61895MNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K.a.M Alliance, Inc. CurrentSince May 15, 2012 Accepting new patients
Karen Taylor-Crawford and Associates Think Clearly Past Accepting new patients
Child and Adolescent Behavioral Health Services Past Accepting new patients
Karen Taylor Crawford and Associates Past Accepting new patients

Locations

2215 W 95th St
#100
Chicago, IL 60643
Phone (773) 239-9600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1255444311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 W LAKE ST # 23",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TECHNOLOGY DR NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012275",
            "telephone_number": "320-231-5421",
            "fax_number": "320-231-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-CRAWFORD",
        "first_name": "KAREN",
        "middle_name": "DENESE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036056639",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "61895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSING BOARD",
            "identifier": "61895",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CRAWFORD",
            "middle_name": "D",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.