Active NPI
The Crane Center LLC
- Family Medicine Physician
- Destin, FL
National Provider Identifier
1730678293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE CRANE CENTER LLC
- Practice address
- 137 Crystal Beach Dr Ste 137-C
Destin, FL 32541 - Phone
- (850) 226-7100
- NPI assigned
- May 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Hensley, LMHC
- Title
- Office Manager
- Phone
- (850) 226-7100
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
137 Crystal Beach Dr Ste 137-C
Destin, FL 32541
Mailing address
PO Box 1648
Destin, FL 32540-1648
Other practice location 1
137 Crystal Beach Dr Ste 121B
Destin, FL 32541-3573
Phone (850) 843-4308
Other names 1
- Cute Kids Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2146723 | Crane Center LLC, the | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
137 Crystal Beach Dr
Ste 137C
Destin, FL 32541
Phone (850) 226-7100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Destin, FL
- NPI 1568951176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1730678293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "DESTIN",
"state": "FL",
"postal_code": "325401648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 CRYSTAL BEACH DR STE 137-C",
"city": "DESTIN",
"state": "FL",
"postal_code": "32541",
"telephone_number": "850-226-7100"
}
],
"practiceLocations": [
{
"address_1": "137 Crystal Beach Dr Ste 121B",
"address_purpose": "LOCATION",
"city": "Destin",
"state": "FL",
"postal_code": "325413573",
"country_code": "US",
"telephone_number": "850-843-4308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE CRANE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-09",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "HENSLEY",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "850-226-7100",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cute Kids Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.