Deborah Lynn Croan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19486 Issued in CA

Practice address

4800 Magnolia Ave
Attn: Student Health
Riverside, CA 92506-1201

Phone

(951) 222-8150

NPI assigned

Apr 30, 2010

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: deborah.croan.1@30093.direct.athenahealth.com
• Direct secure messaging: deborah.croan@337577483108356.direct.elationemr.com

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.

• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Riverside City College

  • Student Health Clinic/Center
  • Riverside, CA
  • NPI 1780008839
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1669799615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MAGNOLIA AVE",
            "address_2": "ATTN: STUDENT HEALTH",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061201",
            "telephone_number": "951-222-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MAGNOLIA AVE",
            "address_2": "ATTN: STUDENT HEALTH",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061201",
            "telephone_number": "951-222-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROAN",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Inacay Crisostomo, FNP
• Stephanie Cristerna-Casillas
• Shela Tahsa Cristiani
• Sophia Cristo
• Adolfo Cristobal
• Nidya Crockett, LCSW
• Alyssa Crom, PHARMD
• Willie Cromer, PTA
• Michelle Alyse Cronin
• Alan Lavon Crosby

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.