Active NPI
Irlande Kathia Crevecoeur, P.A.
- Physician Assistant
- Atlantis, FL
National Provider Identifier
1699859389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101753
- Practice address
- 5055 S Congress Ave, Suite 304 (3C)
Atlantis, FL 33462 - Phone
- (561) 766-0590
- Fax
- (561) 766-0591
- NPI assigned
- Oct 25, 2006
- Last updated
- Aug 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101753 | FL | Primary |
Addresses
Primary practice location
5055 S Congress Ave, Suite 304 (3C)
Atlantis, FL 33462
Mailing address
8333 NW 53Rd St FL 6
Doral, FL 33166-4783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112542100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101753 | FL | MD | Physician Assistant |
Interoperability endpoints
- irlande.crevecoeur@chealth.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cano Health, Comfort Health, Comfort Health Medical Center
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
- NPI 1689901688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1699859389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 NW 53RD ST FL 6",
"city": "DORAL",
"state": "FL",
"postal_code": "331664783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 S CONGRESS AVE, SUITE 304 (3C)",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "33462",
"telephone_number": "561-766-0590",
"fax_number": "561-766-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREVECOEUR",
"first_name": "IRLANDE",
"middle_name": "KATHIA",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112542100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.