Individual provider Active NPI

Monique Aurtrell Crowder

  • Private Vehicle
  • Cleveland, OH
National Provider Identifier
1699373423
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
HSH3607 Issued in OH
Practice address
6503 Marsol Rd Apt 542
Cleveland, OH 44124-3506
Phone
(205) 451-6305
NPI assigned
Oct 14, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X HSH3607 OH Primary

Addresses

Primary practice location

6503 Marsol Rd Apt 542
Cleveland, OH 44124-3506

Mailing address

6503 Marsol Rd Apt 542
Cleveland, OH 44124-3506
Phone (205) 451-6305

Other identifiers 1

IdentifierTypeStateIssuer
0409568MedicaidOH

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

LicenseStateTypeSpecialty
HSH3607OHMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Uniques Enrichment Transportation Center LL CurrentSince Aug 28, 2022 Accepting new patients
Uniques Enrichment Transportation Center Private Vehicle CurrentSince Oct 10, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1699373423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 MARSOL RD APT 542",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441243506",
            "telephone_number": "205-451-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 MARSOL RD APT 542",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441243506",
            "telephone_number": "205-451-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "MONIQUE",
        "middle_name": "AURTRELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "HSH3607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409568",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.