Misti Crowsey, BASE. QMHP,CC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7551 County Road 2829
Mabank, TX 75156-7187

Phone

(903) 288-2150

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1619504677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351717",
            "telephone_number": "214-351-3490",
            "fax_number": "844-625-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 COUNTY ROAD 2829",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751567187",
            "telephone_number": "903-288-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWSEY",
        "first_name": "MISTI",
        "name_prefix": "Mrs.",
        "credential": "BASE. QMHP,CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewayne Lloyd Chapman, RPH
• Clayton a Gautreaux D.D.S
• Tabitha Colwell Hale, MS CCC-SLP
• Counseling Solutions
• Breanne Michelle Crow, MA LPC-A
• Dewayne L Chapman (Mabank Family Pharmacy)
• Emilee Dudley, DDS
• Eunice Nadine Hall (Mabank Nursing Home)
• Katie Farmer
• Melissa Lee Fedran

• Community Health Worker in Mabank, TX
• Providers in Mabank, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.