Active NPI
Heather Nichole Crawford, PA-C
- Physician Assistant
- Pensacola, FL
National Provider Identifier
1316975808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103672
- Practice address
- 1549 Airport Blvd
340
Pensacola, FL 32504-8633 - Phone
- (850) 416-2340
- Fax
- (850) 416-2338
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103672 | FL | Primary |
Addresses
Primary practice location
1549 Airport Blvd
340
Pensacola, FL 32504-8633
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-2340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633283 | Medicaid | MS | |
| 2129112 | Medicaid | LA | |
| 59185123 | Other | AL | BLUE CROSS |
Other names 1
- Heather Nichole Young
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061030000015 | FL | Practitioner - Physician Assistant | 9830196187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200370 | LA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- heather.crawford.1@24790.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1316975808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 AIRPORT BLVD",
"address_2": "340",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048633",
"telephone_number": "850-416-2340",
"fax_number": "850-416-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "HEATHER",
"middle_name": "NICHOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01633283",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2129112",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "59185123",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "YOUNG",
"middle_name": "NICHOLE",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.