Individual provider Active NPI

Shawn K Crowther, CERT. NURSE MIDWIFE

  • Advanced Practice Midwife
  • Camp Pendleton, CA
National Provider Identifier
1891253951
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
7087200-4402 Issued in UT
Practice address
PO Box 555191
Camp Pendleton, CA 92055-5191
Phone
(760) 719-3498
NPI assigned
Mar 7, 2019
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 7087200-4402 UT Primary

Addresses

Primary practice location

PO Box 555191
Camp Pendleton, CA 92055-5191

Mailing address

PO Box 555191
Camp Pendleton, CA 92055-5191
Phone (760) 725-4015

Other practice location 1

Chatan, Nakagami District
Naha, Okinawa Prefecture 9040103
JP
Phone (011) 646-7723

Other practice location 2

US Naval Hospital, Okinawa, Japan
Fpo, AP 96362
Phone (011) 646-7723

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

State licenses

LicenseStateTypeSpecialty
7087200-4402UTMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1891253951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-725-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-719-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Chatan, Nakagami District",
            "address_purpose": "LOCATION",
            "city": "Naha",
            "state": "Okinawa Prefecture",
            "postal_code": "9040103",
            "country_code": "JP",
            "telephone_number": "011-646-7723",
            "country_name": "Japan",
            "address_type": "FGN"
        },
        {
            "address_1": "US Naval Hospital, Okinawa, Japan",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96362",
            "country_code": "US",
            "telephone_number": "011-646-7723",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "CROWTHER",
        "first_name": "SHAWN",
        "middle_name": "K",
        "credential": "CERT. NURSE MIDWIFE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "7087200-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.