Active NPI
Jacqueline Love Crump, ARNP
- Nurse Practitioner
- Orlando, FL
National Provider Identifier
1780716431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9192919
- Practice address
- 89 W Copeland Dr
Orlando, FL 32806-2002 - Phone
- (321) 841-7550
- Fax
- (321) 841-8185
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9192919 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9192919 | FL | Primary |
Addresses
Primary practice location
89 W Copeland Dr
Orlando, FL 32806-2002
Mailing address
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308735200 | Medicaid | FL | |
| ARNP9192919 | Other | FL | MEDICAL LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1780716431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062002",
"telephone_number": "321-841-7550",
"fax_number": "321-841-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062002",
"telephone_number": "321-841-7550",
"fax_number": "321-841-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP",
"first_name": "JACQUELINE",
"middle_name": "LOVE",
"name_prefix": "Miss",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9192919",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9192919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308735200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ARNP9192919",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.