Danielle Marie Crum, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5013987 Issued in NC

Practice address

4707 South Blvd
Charlotte, NC 28217-2117

Phone

(704) 525-6288

NPI assigned

Jan 18, 2021

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Health Carolinas PLLCGroup PAC ID 9537569868, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Health Carolinas, PLLC

  • General Practice Physician
  • Charlotte, NC
  • NPI 1124693338

  NC

  Medicare reassignment Care Compare group NPD
• Select Health Pain and Regenerative Medicine PC

  • General Practice Physician
  • Charlotte, NC
  • NPI 1124636667

  NC, Nurse Practitioner

  Medicare reassignment NPD
• Carolina Disc Associates, P.C.

  • Chiropractor
  • Charlotte, NC
  • NPI 1528491743
  NPD
• Dynamic Health Medical Group PLLC

  • General Practice Physician
  • Charlotte, NC
  • NPI 1972085918
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1457941007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172117",
            "telephone_number": "704-619-4914",
            "fax_number": "704-525-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172117",
            "telephone_number": "704-525-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15720 Brixham Hill Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774784",
            "country_code": "US",
            "telephone_number": "704-541-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Crownover
• Brooke Rhine Crowson, CCC-SLP
• Julie Crowson, FNP
• Meredith H Croy, NP
• Keyaira Crudup, CPO
• Katelyn Crumbley
• Tiara Sade Crumby
• Reagan Mae Crummey, OTR/L
• Kathryn B Crump, PSYD.
• Kathy Raisbeck Crump, PA-C

• All providers in Charlotte, NC
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.