Individual provider Active NPI

Lisa Edwards Crumpton, FNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1568084242
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-049552 Issued in AL
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

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214002697 AL Practitioner - Nurse Practitioner 5092185017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-049552ALMDRegistered 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

Verify at the official NPI Registry.