Active NPI
Theresa Hoffman Crowley, MD
- Pediatrics Physician
- Ashburn, VA
National Provider Identifier
1831182260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101040802
- Practice address
- 20955 Professional PLZ
Ste 200
Ashburn, VA 20147-3405 - Phone
- (703) 729-7952
- Fax
- (703) 729-8746
- NPI assigned
- Aug 31, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101040802 | VA | Primary |
Addresses
Primary practice location
20955 Professional PLZ
Ste 200
Ashburn, VA 20147-3405
Mailing address
20955 Professional PLZ
Ste 200
Ashburn, VA 20147-3405
Phone (703) 443-6717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6704662 | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101040802 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- theresa.crowley@lmg1.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1831182260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20955 PROFESSIONAL PLZ",
"address_2": "STE 200",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473405",
"telephone_number": "703-443-6717",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20955 PROFESSIONAL PLZ",
"address_2": "STE 200",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473405",
"telephone_number": "703-729-7952",
"fax_number": "703-729-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "THERESA",
"middle_name": "HOFFMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101040802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6704662",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.