Katesha S. Cromwell

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P009061 Issued in NC

Legal business name

KATESHA S. CROMWELL

Practice address

1201 Parable Way
Cary, NC 27519-0897

Phone

(757) 751-5328

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Katesha Shanee Cromwell, LCSWA

Title

Provisional Outpatient Therapist

Phone

(757) 751-5328

Specialties & licenses 1

Addresses

Other names 1

• Fernandez Community Center Doing business as

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1588073704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PARABLE WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275190897",
            "telephone_number": "757-751-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PARABLE WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275190897",
            "telephone_number": "757-751-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATESHA S. CROMWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "CROMWELL",
        "authorized_official_first_name": "KATESHA",
        "authorized_official_middle_name": "SHANEE",
        "authorized_official_title_or_position": "PROVISIONAL OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "757-751-5328",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P009061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fernandez Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe Karogi
• Hannah Katherine Kase
• Amy Lin Kasper, OD
• Kathy Kasprzak-Rinehart, LCSW
• Anil Kumar Kasula, MD
• Laura Hertzfeld Katz
• Sarah Kautz
• Teja Srinivas Srinivas Kavuri
• Kay Daily Care LLC
• Elizabeth Kay

• Community/Behavioral Health Agency in Cary, NC
• Providers in Cary, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.