Active NPI
Harlie Mayson Crowe
- Speech-Language Pathologist
- Braymer, MO
National Provider Identifier
1700607140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2024031519
- Practice address
- 400 Bobcat Ave
Braymer, MO 64624-9750 - Phone
- (660) 645-2284
- NPI assigned
- Oct 18, 2024
- Last updated
- Nov 8, 2024
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2024031519 | MO | Primary |
Addresses
Primary practice location
400 Bobcat Ave
Braymer, MO 64624-9750
Mailing address
5585 Liv 418
Ludlow, MO 64656-8140
Phone (660) 973-4567
Other practice location 1
341 E 6th St
Cowgill, MO 64637-9610
Phone (660) 255-4415
Other practice location 2
400 W Colfax St
Breckenridge, MO 64625-9608
Phone (660) 644-5715
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024031519 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braymer C-4 School | Past | Accepting new patients | |
| Breckenridge R-I School District | Speech-Language Pathologist | Past | Accepting new patients |
| Cowgill School District R-6 | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Local Education Agency (LEA)
- Braymer, MO
- NPI 1003013111
-
- Local Education Agency (LEA)
- Breckenridge, MO
- NPI 1053450643
Speech-Language Pathologist
-
- Local Education Agency (LEA)
- Cowgill, MO
- NPI 1841417854
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1700607140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5585 LIV 418",
"city": "LUDLOW",
"state": "MO",
"postal_code": "646568140",
"telephone_number": "660-973-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BOBCAT AVE",
"city": "BRAYMER",
"state": "MO",
"postal_code": "646249750",
"telephone_number": "660-645-2284"
}
],
"practiceLocations": [
{
"address_1": "341 E 6th St",
"address_purpose": "LOCATION",
"city": "Cowgill",
"state": "MO",
"postal_code": "646379610",
"country_code": "US",
"telephone_number": "660-255-4415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Colfax St",
"address_purpose": "LOCATION",
"city": "Breckenridge",
"state": "MO",
"postal_code": "646259608",
"country_code": "US",
"telephone_number": "660-644-5715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROWE",
"first_name": "HARLIE",
"middle_name": "MAYSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-18",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2024031519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braymer, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.