Individual provider Active NPI

Audrey Renee Crowl, APRN

  • Family Nurse Practitioner
  • Salem, AR
National Provider Identifier
1487653242
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN1006 Issued in AR
Practice address
679 N Main St
North Arkansas Family Clinic
Salem, AR 72576-9451
Phone
(870) 895-2152
Fax
(870) 895-2481
NPI assigned
Jul 14, 2005
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN1006 AR Primary
Gerontology Nurse Practitioner 363LG0600X A01006 AR

Addresses

Primary practice location

679 N Main St
North Arkansas Family Clinic
Salem, AR 72576-9451

Mailing address

679 N Main St
PO Box 517
Salem, AR 72576-9451
Phone (870) 895-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20110830000312 AR Practitioner - Nurse Practitioner 3870682057 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN1006ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Hospital CurrentSince Mar 1, 2016 Accepting new patients
Salem Clinic PLLC CurrentSince Aug 31, 2005 Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fulton County Hospital CurrentSince Mar 1, 2016 Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fulton County Hospital Current Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

661 N Main St
Salem, AR 72576
Phone (870) 895-3281

673 N Main St
Salem, AR 72576
Phone (870) 625-3111

673 N Main St
Ste A
Salem, AR 72576
Phone (870) 508-1081

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1487653242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 N MAIN ST",
            "address_2": "PO BOX 517",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725769451",
            "telephone_number": "870-895-2152",
            "fax_number": "870-895-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 N MAIN ST",
            "address_2": "NORTH ARKANSAS FAMILY CLINIC",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725769451",
            "telephone_number": "870-895-2152",
            "fax_number": "870-895-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWL",
        "first_name": "AUDREY",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "APN1006",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A01006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

Verify at the official NPI Registry.