Active NPI
Laura Ann Crumpler
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 118467
- Practice address
- 800 Spruce St
Philadelphia, PA 19107-6130 - Phone
- (215) 829-3000
- NPI assigned
- Mar 31, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN670022 | PA | |
| Registered Nurse | 163W00000X | 588628 | NY | |
| Registered Nurse | 163W00000X | 26NR18016600 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 118467 | PA | Primary |
Addresses
Primary practice location
800 Spruce St
Philadelphia, PA 19107-6130
Mailing address
709 S 19TH St
Apt 3F
Philadelphia, PA 19146-1838
Phone (703) 795-6477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18016600 | NJ | MD | Registered Nurse |
| 588628 | NY | MD | Registered Nurse |
| 118467 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1336671072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 S 19TH ST",
"address_2": "APT 3F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461838",
"telephone_number": "703-795-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMPLER",
"first_name": "LAURA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN670022",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "588628",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18016600",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "118467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.