Individual provider Active NPI

Rachael Jean Crow

  • Attendant Care Provider
  • Little Rock, AR
National Provider Identifier
1699316893
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
4111 C St
Little Rock, AR 72205-4053
Phone
(501) 442-6744
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

4111 C St
Little Rock, AR 72205-4053

Mailing address

4111 C St
Little Rock, AR 72205-4053
Phone (501) 442-6744

Other identifiers 1

IdentifierTypeStateIssuer
3747A0650XOtherDEPARTMENT OF VETERANS AFFAIRS

Other names 1

  • Rachael Jean Smith Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1699316893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 C ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054053",
            "telephone_number": "501-442-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 C ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054053",
            "telephone_number": "501-442-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "RACHAEL",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF VETERANS AFFAIRS",
            "identifier": "3747A0650X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.