Individual provider Active NPI

Charlene Rene Crumpton, R.N.

  • Rehabilitation Registered Nurse
  • Ashville, AL
National Provider Identifier
1760561849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
1-090560 Issued in AL
Practice address
800 Beaver Ridge Cir
Ashville, AL 35953-6708
Phone
(205) 592-1150
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 1-090560 AL Primary

Addresses

Primary practice location

800 Beaver Ridge Cir
Ashville, AL 35953-6708

Mailing address

800 Beaver Ridge Cir
Ashville, AL 35953-6708
Phone (205) 592-1150

Other names 1

  • Mrs. Charlene Rene Holder Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-090560ALMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760561849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BEAVER RIDGE CIR",
            "city": "ASHVILLE",
            "state": "AL",
            "postal_code": "359536708",
            "telephone_number": "205-592-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BEAVER RIDGE CIR",
            "city": "ASHVILLE",
            "state": "AL",
            "postal_code": "359536708",
            "telephone_number": "205-592-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "CHARLENE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "AL",
            "license": "1-090560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "HOLDER",
            "middle_name": "RENE",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.