Active NPI
Renauta Lee Crabtree
- Licensed Practical Nurse
- Lucasville, OH
National Provider Identifier
1598980070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 130555
- Practice address
- 518 Pine LN
Lucasville, OH 45648-7819 - Phone
- (740) 259-6270
- Fax
- (740) 259-1924
- NPI assigned
- Apr 17, 2007
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Licensed Practical Nurse | 164W00000X | 130555 | OH | Primary |
Addresses
Primary practice location
518 Pine LN
Lucasville, OH 45648-7819
Mailing address
518 Pine LN
Lucasville, OH 45648-7819
Phone (740) 259-6270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2097181 | Other | OH | INDEPENDENT PROVIDER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130555 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1598980070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 PINE LN",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456487819",
"telephone_number": "740-259-6270",
"fax_number": "740-259-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 PINE LN",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456487819",
"telephone_number": "740-259-6270",
"fax_number": "740-259-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "RENAUTA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "130555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT PROVIDER",
"identifier": "2097181",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lucasville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.