NPIMap

Individual provider Active NPI

Nicole I Crawford

  • Family Nurse Practitioner
  • Easley, SC
National Provider Identifier
1376197335
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN76870 Issued in SC
Practice address
201 Richard St
Easley, SC 29640-1442
Phone
(864) 850-0700
Fax
(864) 850-0705
NPI assigned
Jul 29, 2019
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN76870 SC Primary

Addresses

Primary practice location

201 Richard St
Easley, SC 29640-1442

Mailing address

201 Richard St
Easley, SC 29640-1442
Phone (864) 850-0700

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Greenville
Other URL Easley

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820002660 SC Practitioner - Nurse Practitioner 1658797618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Pulmonary and Critical Care LLCGroup PAC ID 0749440543, 5 clinicians

Practice addresses (Care Compare)

201 Richard St
Suite B
Easley, SC 29640-1442
Phone (864) 850-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN76870SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Pulmonary and Critical Care LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

201 Richard St
#B
Easley, SC 29640
Phone (864) 850-0700

370 Herlong Ave S
Ste 200
Rock Hill, SC 29732
Phone (803) 980-5864

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3719/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1376197335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RICHARD ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401442",
            "telephone_number": "864-850-0700",
            "fax_number": "864-850-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RICHARD ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401442",
            "telephone_number": "864-850-0700",
            "fax_number": "864-850-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "NICOLE",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "RN76870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "868 Cedar Rd",
            "city": "Marietta",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296619006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Easley",
            "affiliation": "N",
            "address_1": "201 Richard St",
            "city": "Easley",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296401442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.