Penny Ellen Crawford, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024056706 Issued in VA

Practice address

1200 Atlantic Shores Dr
Virginia Beach, VA 23454-7311

Phone

(757) 721-1279

Fax

(757) 721-2988

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hyperbaric Physician Services LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Norfolk, VA
  • NPI 1295703627
  NPD (past)
• LHCG Cxcix, LLC

  • Community Based Hospice Care Agency
  • Virginia Beach, VA
  • NPI 1881261139
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801909023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 DEHART CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563569",
            "telephone_number": "757-430-8960",
            "fax_number": "757-430-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ATLANTIC SHORES DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234547311",
            "telephone_number": "757-721-1279",
            "fax_number": "757-721-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "PENNY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024056706",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "00170000562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Hurdle Crawford, M.ED., BCBA, LBA
• Camille Crawford
• Jesse Rose Crawford
• Kareem Antonio Crawford
• Leah Laura Crawford, LPC, CSAC, NCC
• Russell Crawford, PHD, LPC, NCC
• Jasmine Crawley
• Christina Marie Cray, NP
• Kerry Lynn Craymer, LPC
• Lisa Nichole Creadle

• Family Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Nurse Practitioner in Virginia

• 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.