Angelique Crowder

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CO111160 Issued in GA

Practice address

375 Highland Ave NE
Atlanta, GA 30312-1375

Phone

(404) 797-9778

NPI assigned

May 17, 2018

Last updated

May 17, 2018By the provider in NPPES

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

Other names 1

• Angie Skyhh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1790275337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MOROSGO DR NE UNIT 13571",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303240571",
            "telephone_number": "404-797-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HIGHLAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121375",
            "telephone_number": "404-797-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "ANGELIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "GA",
            "license": "CO111160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "SKYHH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Austin Crouthers
• David Crow, LCSW
• John Matthew Crow, AGACNP-BC
• Kimberly G Crow, RN
• Robert William Crow, M.D.
• Ayanna Crowder
• Crystal Crowder, PA-C, ATC
• Dewayne Nashun Crowder, SOCIAL WORKER
• Kevin Crowder, D.C.
• Miles K. Crowder, MD

• Prosthetist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.