Active NPI
Tracey D Credeur, RN
- Community Health Registered Nurse
- Crowley, LA
National Provider Identifier
1548522600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN094855
- Practice address
- 1029 Capitol Ave
Crowley, LA 70526-5509 - Phone
- (337) 788-7507
- Fax
- (337) 788-7577
- NPI assigned
- Jun 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN094855 | LA | Primary |
Addresses
Primary practice location
1029 Capitol Ave
Crowley, LA 70526-5509
Mailing address
1029 Capitol Ave
Crowley, LA 70526-3227
Phone (337) 788-7507
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN094855 | LA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1548522600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 CAPITOL AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705263227",
"telephone_number": "337-788-7507",
"fax_number": "337-788-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 CAPITOL AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705265509",
"telephone_number": "337-788-7507",
"fax_number": "337-788-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREDEUR",
"first_name": "TRACEY",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "LA",
"license": "RN094855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.