Active NPI
Jennifer Marie Crum-Bailey, D.O
- Behavioral Neurology & Neuropsychiatry Physician
- Joint Base Lewis McChord, WA
National Provider Identifier
1386955425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- 0102203306
- Practice address
- 9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001 - Phone
- (253) 968-1440
- Fax
- (253) 968-0443
- NPI assigned
- Jun 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 0102203306 | VA | Primary |
Addresses
Primary practice location
9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Mailing address
9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Phone (253) 968-1440
Other practice location 1
300 E Hospital Road
12th Floor Neurology Clinic
Fort Gordon, GA 30809
Phone (706) 691-6385
Other names 1
- Jennifer Marie Crum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15849 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1386955425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-1440",
"fax_number": "253-968-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-1440",
"fax_number": "253-968-0443"
}
],
"practiceLocations": [
{
"address_1": "300 E Hospital Road",
"address_2": "12th Floor Neurology Clinic",
"address_purpose": "LOCATION",
"city": "Fort Gordon",
"state": "GA",
"postal_code": "30809",
"country_code": "US",
"telephone_number": "706-691-6385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUM-BAILEY",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "VA",
"license": "0102203306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CRUM",
"middle_name": "MARIE",
"credential": "D.O",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.