Kendra Q Crews, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 886 Issued in AL

Practice address

126 S Anniston Ave
Sylacauga, AL 35150-2904

Phone

(256) 249-6050

Fax

(256) 249-6053

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bashar Hakim MD, PC

  • Gastroenterology Physician
  • Sylacauga, AL
  • NPI 1982883435

  AL, Gastroenterology

  Medicare reassignment NPD

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1326484841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S ANNISTON AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502904",
            "telephone_number": "256-249-6050",
            "fax_number": "256-249-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S ANNISTON AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502904",
            "telephone_number": "256-249-6050",
            "fax_number": "256-249-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "KENDRA",
        "middle_name": "Q",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "PA 886",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA 886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coosa Valley Sports Medicine and Primary Care LLC
• Coosa Valley Surgical Associates
• Coosa Valley Urology, P.C.
• Yvonne Price Copeland, LICSW
• Craddock Health Center P C
• James L Crook, MD
• Timothy A. Crump, N.P
• Peighton Cumbie
• Rebecca Cummings
• David Paul Currie, DMD

• All providers in Sylacauga, AL
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.