Individual provider Active NPI

Susan Katherine Crosby, APRN,PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1841274941
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
598136 Issued in TX
Practice address
2626 S Clack St
Abilene, TX 79606
Phone
(325) 691-2024
Fax
(325) 690-5241
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 598136 TX Primary

Addresses

Primary practice location

2626 S Clack St
Abilene, TX 79606

Mailing address

2608 Golf Dr
Kingman, AZ 86401-3900
Phone (928) 853-8410

Other practice location 1

1701 Veterans Memorial Drive
Temple, TX 76504
Phone (254) 778-4811

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
598136TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1841274941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 GOLF DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013900",
            "telephone_number": "928-853-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-691-2024",
            "fax_number": "325-690-5241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Veterans Memorial Drive",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "76504",
            "country_code": "US",
            "telephone_number": "254-778-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "SUSAN",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "APRN,PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "598136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.