Active NPI
Jennifer H. Crawley, M.D.
- Diagnostic Radiology Physician
- Overland Park, KS
National Provider Identifier
1497734784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R9E96
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI2562 | Other | KS | RAILROAD MEDICARE- GROUP |
| CI3618 | Other | MO | RAILROAD MEDICARE- GROUP |
| 3230471A | Other | MO | RAILROAD MEDICARE- INDIV |
| 3230471B | Other | KS | RAILROAD 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9E96 | MO | MD | Specialist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.