Elisha Crowfield-White

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703129876 Issued in MI

Practice address

1315 Coplin St
Detroit, MI 48215-2787

Phone

(313) 686-9528

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michigan Learning Community, LLC

  • Behavior Analyst
  • Ypsilanti, MI
  • NPI 1366058141
  NPD (past)

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1376294728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 COPLIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152787",
            "telephone_number": "313-686-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 COPLIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152787",
            "telephone_number": "313-686-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWFIELD-WHITE",
        "first_name": "ELISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703129876",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel L. Croteau, M.D.
• David Richard Crovak
• Cathryn Mary Crow, AGACNP-BC
• Melissa Sue Crowe
• Sherri J Crowell, LLBSW
• Emily Crowley
• Jasmine Irene Crowley
• Sarah Marie Crowley, DO
• Crown Medical LLC
• Crown Physical Therapy Inc

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.