Active NPI
Elaine Kay Cruse, PHARM.D.
- Diabetes Educator Registered Nurse
- Huntington, WV
National Provider Identifier
1568581072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RP0006599
- Practice address
- 3377 US Route 60
Huntington, WV 25705-2837 - Phone
- (304) 399-3310
- Fax
- (304) 523-8115
- NPI assigned
- Mar 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000013431 | TN | |
| Diabetes Educator Registered Nurse | 163WD0400X | RP0006599 | WV | Primary |
Addresses
Primary practice location
3377 US Route 60
Huntington, WV 25705-2837
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 697-1396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810025874 | Medicaid | WV |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0006599 | WV | MD | Diabetes Educator Registered Nurse |
| 0000013431 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1568581072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1680",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257171680",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052837",
"telephone_number": "304-399-3310",
"fax_number": "304-523-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUSE",
"first_name": "ELAINE",
"middle_name": "KAY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000013431",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WV",
"license": "RP0006599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810025874",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.