Kimberly Latashia Crenshaw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q6503 Issued in TX

Practice address

200 W Tyler Ave
West Memphis, AR 72301-4223

Phone

(870) 735-1500

NPI assigned

Apr 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency MedicineAlso: Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050
• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

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.

• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  LA

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment Care Compare group NPD
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment Care Compare group NPD
• Angelina Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1518397298
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Emergency Group of St Landry LLC

  • Emergency Medicine Physician
  • Ville Platte, LA
  • NPI 1164491320
  Medicare reassignment NPD
• Eunice Emergency Group LLC

  • Emergency Medicine Physician
  • Eunice, LA
  • NPI 1104895689
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment NPD
• McAdams Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1275183956
  Medicare reassignment NPD
• Professional Emergency Medicine Management -- Lake Charles LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1023430766
  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  LA

  Medicare reassignment NPD
• Webb Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1770543555
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation
• Hospital Service District No 2 of Parish of Beauregard State of la

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499
  Care Compare affiliation

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1346483799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271104",
            "telephone_number": "985-732-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014223",
            "telephone_number": "870-735-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ville Platte",
            "state": "LA",
            "postal_code": "705864618",
            "country_code": "US",
            "telephone_number": "337-363-5684",
            "fax_number": "337-363-9488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Highway 190",
            "address_purpose": "LOCATION",
            "city": "Eunice",
            "state": "LA",
            "postal_code": "705355129",
            "country_code": "US",
            "telephone_number": "337-580-7500",
            "fax_number": "337-580-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "KIMBERLY",
        "middle_name": "LATASHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "48078",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-7288",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.204875",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Lata Cox
• Jason Craig, PTA
• Rena Crawford, CDA, MHPP
• Shaquilla Crawford
• Brianna D Crayton
• Roger Dale Criner Jr., MD
• Crittenden Adult Care Services
• Crittenden Adult Care Services L.L.C.
• Crittenden Ambulance Service Corp
• Crittenden Cares, Inc

• Family Medicine Physician in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
• 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.

Verify at the official NPI Registry.