Individual provider Active NPI

Robert P Crosby, PARAMEDIC

  • Paramedic
  • Ft. Rucker, AL
National Provider Identifier
1487823993
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
M0895089 Issued in AL
Practice address
BLDG 301 Andrews Ave
Ft. Rucker, AL 36362-5333
Phone
(334) 255-7032
Fax
(334) 255-7090
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 9700484 AL
Paramedic 146L00000X M0895089 AL Primary
Licensed Practical Nurse 164W00000X 2-051885 AL

Addresses

Primary practice location

BLDG 301 Andrews Ave
Ft. Rucker, AL 36362-5333

Mailing address

BLDG 301 Andrews Ave
Ft. Rucker, AL 36362-5333
Phone (334) 255-7032

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

LicenseStateTypeSpecialty
9700484ALMDParamedic
M0895089ALMDParamedic
2-051885ALMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1487823993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 301 ANDREWS AVE",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7032",
            "fax_number": "334-255-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 301 ANDREWS AVE",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7032",
            "fax_number": "334-255-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AL",
            "license": "9700484",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AL",
            "license": "M0895089",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-051885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.