Active NPI
Lisa Crawford
- Community Health Worker
- Saint Charles, MO
National Provider Identifier
1740501840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 17200000X
- Practice address
- 2951 Brooklands Way
Saint Charles, MO 63303-6020 - Phone
- (163) 692-2334
- Fax
- (163) 692-2334
- NPI assigned
- Jun 13, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 17200000X | MO | Primary |
Addresses
Primary practice location
2951 Brooklands Way
Saint Charles, MO 63303-6020
Mailing address
2951 Brooklands Way
Saint Charles, MO 63303-6020
Phone (163) 692-2334
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 |
|---|---|---|---|
| 17200000X | MO | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276387200000",
"number": "1740501840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 BROOKLANDS WAY",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633036020",
"telephone_number": "163-692-2334",
"fax_number": "163-692-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 BROOKLANDS WAY",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633036020",
"telephone_number": "163-692-2334",
"fax_number": "163-692-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-13",
"last_updated": "2010-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "17200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.