Active NPI
Alyssa S. Crabtree
- Home Health Aide
- West Union, OH
National Provider Identifier
1649306945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2684582
- Practice address
- 302 Sherwood Black Rd
West Union, OH 45693-9212 - Phone
- (937) 549-8733
- NPI assigned
- Feb 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2684582 | OH | Primary |
Addresses
Primary practice location
302 Sherwood Black Rd
West Union, OH 45693-9212
Mailing address
302 Sherwood Black Rd
West Union, OH 45693-9212
Phone (937) 549-8733
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 |
|---|---|---|---|
| 2684582 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649306945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 SHERWOOD BLACK RD",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456939212",
"telephone_number": "937-549-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 SHERWOOD BLACK RD",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456939212",
"telephone_number": "937-549-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "ALYSSA",
"middle_name": "S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2684582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Union, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.