Averil Alicen Crowley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704271778 Issued in MI

Practice address

2120 43Rd St SE Ste 200
Kentwood, MI 49508-3712

Phone

(616) 455-4114

Fax

(616) 455-4454

NPI assigned

Jul 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1710530720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE STE 200",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495083712",
            "telephone_number": "616-455-4114",
            "fax_number": "616-455-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE STE 200",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495083712",
            "telephone_number": "616-455-4114",
            "fax_number": "616-455-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "AVERIL",
        "middle_name": "ALICEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Creighton
• Sandra L Cribbs
• Chandra Lynne Doorn Criffield, LMSW
• Gabrielle Cronkright
• Jerome Cross
• Margaret Mary Catherine Crowley, RDH
• Kloee Curtis
• Rachel E Curtis, RD
• Richard Czop, MD
• Amy Sue Da Silva, LMSW

• Family Nurse Practitioner in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.