Octavia Crenshaw, MSN APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0030900 Issued in OH

Practice address

2973 Taylor Road Ext
Reynoldsburg, OH 43068-9483

Phone

(380) 204-7713

NPI assigned

Jul 5, 2022

Last updated

Jul 5, 2022By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1548993744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E BROAD ST UNIT 887",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430625235",
            "telephone_number": "614-286-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 TAYLOR ROAD EXT",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689483",
            "telephone_number": "380-204-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "OCTAVIA",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Coyle
• Cheri Craft, LISW
• Bethany Crawford, D.D.S.
• Ronesha Jeanne Crawford
• Steven W Crawford, RN
• Ambera D Crosby, MS,LPC
• Diane Olivia Cross I, LPN
• Kelly R Cross
• Jennifer L Crowley, O.D.
• Katherine Penelope Crum, MOT, OTR/L

• Family Nurse Practitioner in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.