Jeremy E Creech, A.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9277105 Issued in FL

Practice address

511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328

Phone

(352) 728-6808

Fax

(352) 323-8714

NPI assigned

Jun 17, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25533/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/ECJJAD

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.

• Louis J Radnothy DO PA

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  • Umatilla, FL
  • NPI 1578639209

  Nurse Practitioner

  NPD
• Orlando Pain Centers of Excellence LLC

  • Neurological Surgery Physician
  • Longwood, FL
  • NPI 1659031326
  NPD

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679912299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MEDICAL PLAZA DR STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487328",
            "telephone_number": "352-728-6808",
            "fax_number": "352-323-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MEDICAL PLAZA DR STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487328",
            "telephone_number": "352-728-6808",
            "fax_number": "352-323-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 N Eustis St",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327263408",
            "country_code": "US",
            "telephone_number": "352-602-4725",
            "fax_number": "352-602-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREECH",
        "first_name": "JEREMY",
        "middle_name": "E",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9277105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009259700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Cowin, M.D.
• Dana N Cowles, DO
• June S Craft, APRN
• Marissa Crandall Cruz, D.M.D., M.S
• Madeline Cravens, MS
• Brenda Crellen, LMHC
• Stephanie J Crenshaw
• Lisa Crigger, RBT-21-197635
• Carmen Lidya Cristobal, FNP
• Nancy Todd Cristoforo, M.D.

• All providers in Leesburg, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.