Kristin Rene Crosby, LVN, SUDRC

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

261843 Issued in CA

Practice address

614 W Manchester Blvd Ste 104
Inglewood, CA 90301-1683

Phone

(310) 412-0879

NPI assigned

Jun 30, 2017

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1346761293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W MANCHESTER BLVD STE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011683",
            "telephone_number": "310-412-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W MANCHESTER BLVD STE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011683",
            "telephone_number": "310-412-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4129 State St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101848",
            "country_code": "US",
            "telephone_number": "805-964-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "KRISTIN",
        "middle_name": "RENE",
        "credential": "LVN, SUDRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "261843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENSED VOCATION NURSE",
            "identifier": "261843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cranford L. Scott, M.D., Inc.
• Crawford Ministries, Inc.
• Hortense G Crawford
• Tiffany Creer
• Herb Crosby, D.C.
• Dominique Cross, NP
• Adolfo Jose Cruz
• Susana Cruz
• Raymond Anthony Cryer, OTR/L
• Jaime Cueto, OTR

• Licensed Vocational Nurse in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.