Active NPI
Lisa Edwards Crumpton, FNP
- Family Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1568084242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-049552
- Practice address
- 5915 Carmichael Rd
Montgomery, AL 36117-2507 - Phone
- (334) 245-8736
- Fax
- (334) 245-1771
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-049552 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-049552 | AL | Primary |
Addresses
Primary practice location
5915 Carmichael Rd
Montgomery, AL 36117-2507
Mailing address
220 County Road 911
Orrville, AL 36767-2710
Phone (334) 996-8128
Other practice location 1
220 County Road 911
Orrville, AL 36767-2710
Phone (334) 996-8128 ext. 33499
Other practice location 2
2500 N Buffalo Dr
Las Vegas, NV 89128-7851
Phone (833) 788-2437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-049552 | AL | MD | Registered Nurse |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1568084242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 COUNTY ROAD 911",
"city": "ORRVILLE",
"state": "AL",
"postal_code": "367672710",
"telephone_number": "334-996-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 CARMICHAEL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361172507",
"telephone_number": "334-245-8736",
"fax_number": "334-245-1771"
}
],
"practiceLocations": [
{
"address_1": "220 County Road 911",
"address_purpose": "LOCATION",
"city": "Orrville",
"state": "AL",
"postal_code": "367672710",
"country_code": "US",
"telephone_number": "334-996-8128 x33499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 N Buffalo Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891287851",
"country_code": "US",
"telephone_number": "833-788-2437",
"fax_number": "833-788-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUMPTON",
"first_name": "LISA",
"middle_name": "EDWARDS",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-049552",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-049552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.