Individual provider Active NPI

Jeannie M Crabtree, APRN

  • Family Nurse Practitioner
  • East Granby, CT
National Provider Identifier
1528045697
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
075082 Issued in CT
Practice address
13 Church St
East Granby, CT 06026-0518
Phone
(860) 653-4526
Fax
(860) 653-5209
NPI assigned
Dec 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 075082 CT Primary

Addresses

Primary practice location

13 Church St
East Granby, CT 06026-0518

Mailing address

PO Box 518
13 Church Rd
East Granby, CT 06026-0518
Phone (860) 653-4526

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3201CTMDSurgical Physician Assistant
075082CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Granby Family Practice LLC Family CurrentSince Feb 14, 2005 Accepting new patients

Locations

13 Church Rd
East Granby, CT 06026
Phone (860) 653-4526

Organizations & group practices 1

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528045697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "address_2": "13 CHURCH RD",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060260518",
            "telephone_number": "860-653-4526",
            "fax_number": "860-653-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CHURCH ST",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060260518",
            "telephone_number": "860-653-4526",
            "fax_number": "860-653-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "JEANNIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "075082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Granby, CT

Sources for this page

Verify at the official NPI Registry.