Dedra Denise Crouse, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024166531 Issued in VA

Practice address

75 Rogers Street
Lebanon, VA 24266

Phone

(276) 889-7621

NPI assigned

Oct 17, 2006

Last updated

Sep 27, 2012By 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

• Dedra Denise Deel Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buchanan Health Care LLC

  • Specialist
  • Grundy, VA
  • NPI 1609808484
  NPD (past)
• Buchanan Health Diabetes Center

  • Specialist
  • Grundy, VA
  • NPI 1376809384
  NPD (past)
• Commonwealth of Virginia State Board of Health

  dba Nelson County Health Department

  • Public Health or Welfare Agency
  • Arrington, VA
  • NPI 1679580922
  NPD (past)
• Portsmouth Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Portsmouth, VA
  • NPI 1487677845
  NPD (past)
• Russell County Dental Clinic

  • Dental Clinic/Center
  • Lebanon, VA
  • NPI 1265544332
  NPD (past)
• Virginia Department of Health

  dba Russell County Health Department

  • Multi-Specialty Clinic/Center
  • Lebanon, VA
  • NPI 1649231044
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1801977988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2347",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROGERS STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-889-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "DEDRA",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEDRA",
            "last_name": "DEEL",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Elizabeth Coleman
• Jennifer Denise Combs, LPC
• Greg B Cornforth, P.T.
• Lauren Couch, PHARMD
• Emily Brooke Crabtree, FNP-C
• Audrey L. Culbertson, CRNA
• Cumberland Mountain Community Services
• Cindy Joann Davis, LPC
• Stacy Nichole Davis, LPC
• Stephanie B Davis, LCSW

• Family Nurse Practitioner in Lebanon, VA
• Providers in Lebanon, 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 Sep 27, 2012; 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.