Active NPI
Renee Croome
- Private Vehicle
- Concord, NC
National Provider Identifier
1396449666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- YHVH-AT
- Practice address
- 5927 Firethorne LN
Concord, NC 28025-9115 - Phone
- (347) 531-9115
- Fax
- (704) 787-9393
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | KAH-6534 | NC | |
| Private Vehicle | 347C00000X | YHVH-AT | NC | Primary |
Addresses
Primary practice location
5927 Firethorne LN
Concord, NC 28025-9115
Mailing address
5927 Firethorne LN
Concord, NC 28025-9115
Phone (704) 787-9393
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KAH-6534 | NC | MD | Private Vehicle |
| YHVH-AT | NC | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1396449666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 FIRETHORNE LN",
"city": "CONCORD",
"state": "NC",
"postal_code": "280259115",
"telephone_number": "704-787-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5927 FIRETHORNE LN",
"city": "CONCORD",
"state": "NC",
"postal_code": "280259115",
"telephone_number": "347-531-9115",
"fax_number": "704-787-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOME",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "KAH-6534",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "YHVH-AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.