Denna Crutchfield

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN043813 Issued in GA

Practice address

829 Redan Way
Locust Grove, GA 30248-7082

Phone

(678) 232-3246

NPI assigned

Nov 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1821462409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 REDAN WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487082",
            "telephone_number": "678-232-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 REDAN WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487082",
            "telephone_number": "678-232-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "DENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN043813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wesley Cosnahan, CPNP
• Madison N Couch, RD
• Angela Leigh Craig, M.S.
• Parris Montague Crain
• Justin Crumpton, BCBA
• D3 Xpress Transport LLC
• Ashley Dashevsky, RDN, LD
• Chavonn Done Davidson-Smith
• Lisa Davis, MA,MS,LPC
• Phantasia Davis, RN

• All providers in Locust Grove, GA
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.