Richard Scott Crouse, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2000162045 Issued in MO

Practice address

2400 Lucy Lee Pkwy
Poplar Bluff, MO 63901-2429

Phone

(573) 686-1133

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dermatology Office PC

  dba Elite Dermatology

  • Dermatology Physician
  • Poplar Bluff, MO
  • NPI 1043462591
  NPD (past)
• Tinsley Medical Clinic

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1558323386
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548489453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEY CRST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012329",
            "telephone_number": "573-778-0352",
            "fax_number": "573-686-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PKWY",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012429",
            "telephone_number": "573-686-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2000162045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Counseling Services, L.L.C.
• Andrea Crismon, PHARMD
• Rebecca Crites
• Vivian Jean Crites, RN, FNP-BC
• Andrea Cross, PT
• Monique Crowley, LCSW
• Crown Hospice of Poplar Bluff, LLC (Crown Hospice)
• Mike Crunk
• Corey Craig Crutchfield I, LCSW
• Noah J Crutchfield

• Nurse Practitioner in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.