Individual provider Active NPI

Rebecca Lee Crouch, M.D.

  • Family Medicine Physician
  • Jonesboro, LA
National Provider Identifier
1659383545
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
013773 Issued in LA
Practice address
166 Beech Springs Rd
Jonesboro, LA 71251-2014
Phone
(318) 259-3668
Fax
(318) 259-3950
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 013773 LA Primary

Addresses

Primary practice location

166 Beech Springs Rd
Jonesboro, LA 71251-2014

Mailing address

166 Beech Springs Rd
Jonesboro, LA 71251-2014
Phone (318) 259-3668

Other identifiers 2

IdentifierTypeStateIssuer
4647883OtherLAAETNA ID NUMBER
1934917MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlcrouchmd@bellsouth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000066 LA Practitioner - General Practice 9436123205 Practice locations: Jonesboro, LA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in New Orleans, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

166 Beach Springs Rd
Jonesboro, LA 71251-2014
Phone (318) 259-3668

Hospital & facility affiliations

  • Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013773LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Bird Perkins Cancer Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1659383545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BEECH SPRINGS RD",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512014",
            "telephone_number": "318-259-3668",
            "fax_number": "318-259-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BEECH SPRINGS RD",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512014",
            "telephone_number": "318-259-3668",
            "fax_number": "318-259-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "013773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "4647883",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934917",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlcrouchmd@bellsouth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "166 Beech Springs Rd",
            "city": "Jonesboro",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712512014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, LA

Sources for this page

Verify at the official NPI Registry.