Individual provider Active NPI

Jennifer H. Crawley, M.D.

  • Diagnostic Radiology Physician
  • Overland Park, KS
National Provider Identifier
1497734784
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R9E96 Issued in MO
Practice address
6650 W 110TH St Ste 200
Overland Park, KS 66211
Phone
(913) 491-9299
Fax
(913) 491-3089
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R9E96 MO Primary
Specialist 174400000X R9E96 MO

Addresses

Primary practice location

6650 W 110TH St Ste 200
Overland Park, KS 66211

Mailing address

6650 W 110TH St Ste 200
Overland Park, KS 66211-1545
Phone (913) 319-8400

Other practice location 1

4801 Main St
Suite 200
Kansas City, MO 64112-2929
Phone (816) 561-5151

Other practice location 2

4801 Main St
Suite 200
Kansas City, MO 64112-2929
Phone (816) 561-5151

Other identifiers 4

IdentifierTypeStateIssuer
CI2562OtherKSRAILROAD MEDICARE- GROUP
CI3618OtherMORAILROAD MEDICARE- GROUP
3230471AOtherMORAILROAD MEDICARE- INDIV
3230471BOtherKSRAILROAD MEDICARE- INDIV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9E96MOMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1497734784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111545",
            "telephone_number": "913-319-8400",
            "fax_number": "913-696-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-491-9299",
            "fax_number": "913-491-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641122929",
            "country_code": "US",
            "telephone_number": "816-561-5151",
            "fax_number": "816-841-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641122929",
            "country_code": "US",
            "telephone_number": "816-561-5151",
            "fax_number": "816-841-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWLEY",
        "first_name": "JENNIFER",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R9E96",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9E96",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- GROUP",
            "identifier": "CI2562",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- GROUP",
            "identifier": "CI3618",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- INDIV",
            "identifier": "3230471A",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- INDIV",
            "identifier": "3230471B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.