Pearlene Crawford, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

094475-1 Issued in NY

Practice address

4455 Park Ave
Bronx, NY 10457-2406

Phone

(347) 431-4631

Fax

(347) 431-4631

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Elijah Crawford Sr. Other name

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1295987386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572406",
            "telephone_number": "347-431-4631",
            "fax_number": "347-431-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572406",
            "telephone_number": "347-431-4631",
            "fax_number": "347-431-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "PEARLENE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "094475-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PROVIDER I.D.0222608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIJAH",
            "last_name": "CRAWFORD",
            "prefix": "MR.",
            "suffix": "SR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dana E Crawford, PH.D.
• Imani Crawford
• Jeremiah Crawford, DPT
• Lakisha Crawford
• Natalie Crawford
• Yliana Crawford
• Gastone Crea, MD
• Aljuany Creacy, LMSW
• Alirthe Creary
• Create Inc

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.