Individual provider Active NPI

Whitney Roberson Crow, FNP-C

  • Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1831446806
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R882070 Issued in MS
Practice address
705 Sisk Ave
Oxford, MS 38655-3413
Phone
(662) 371-1326
Fax
(662) 371-1325
NPI assigned
Aug 9, 2012
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R882070 MS Primary
Family Nurse Practitioner 363LF0000X R882070 MS

Addresses

Primary practice location

705 Sisk Ave
Oxford, MS 38655-3413

Mailing address

705 Sisk Ave
Oxford, MS 38655-3413
Phone (662) 371-1326

Other practice location 1

840 N Oak Ave
Ruleville, MS 38771-3227
Phone (662) 756-4024

Other identifiers 1

IdentifierTypeStateIssuer
08430344MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130321000166 MS Practitioner - Nurse Practitioner 7113162272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Oxford LLCGroup PAC ID 7810237153, 5 clinicians

Practice addresses (Care Compare)

1626 Hwy 30 E
Oxford, MS 38655-2319
Phone (662) 371-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R882070MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yalobusha General Hospital Nurse Practitioner CurrentSince Feb 2, 2018 Accepting new patients
Dermatology Associates of Oxford, LLC CurrentSince Jun 21, 2023 Accepting new patients
Yalobusha General Hospital Current Accepting new patients
Lyndsay R Shipp MD PLLC Past Accepting new patients

Locations

14415 Main St
Coffeeville, MS 38922
Phone (662) 473-5143

1626 Highway 30 E
Oxford, MS 38655
Phone (662) 371-1326

604 S Main St
Water Valley, MS 38965
Phone (662) 473-1311

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1831446806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SISK AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553413",
            "telephone_number": "662-371-1326",
            "fax_number": "662-371-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SISK AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553413",
            "telephone_number": "662-371-1326",
            "fax_number": "662-371-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Ruleville",
            "state": "MS",
            "postal_code": "387713227",
            "country_code": "US",
            "telephone_number": "662-756-4024",
            "fax_number": "662-756-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROW",
        "first_name": "WHITNEY",
        "middle_name": "ROBERSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R882070",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R882070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08430344",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.