Individual provider Active NPI

Vanessa Christene Crouch, PRSS

  • Peer Specialist
  • Claremore, OK
National Provider Identifier
1841718376
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
12005 E 470 Rd
Claremore, OK 74017-3737
Phone
(918) 342-0770
Fax
(918) 342-0087
NPI assigned
Sep 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

12005 E 470 Rd
Claremore, OK 74017-3737

Mailing address

12005 E 470 Rd
Claremore, OK 74017-3737
Phone (918) 342-0770

Other names 1

  • Miss Vanessa Butler Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841718376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 E 470 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173737",
            "telephone_number": "918-342-0770",
            "fax_number": "918-342-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 E 470 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173737",
            "telephone_number": "918-342-0770",
            "fax_number": "918-342-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "VANESSA",
        "middle_name": "CHRISTENE",
        "name_prefix": "Mrs.",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BUTLER",
            "prefix": "MISS",
            "credential": "PRSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.