Active NPI
Jane Ann Crotteau
- Pediatrics Physician
- Joint Base Lewis McChord, WA
National Provider Identifier
1891258034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102206452
- Practice address
- Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-0001 - Phone
- (253) 968-1110
- NPI assigned
- Apr 12, 2019
- 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 | 0102206452 | VA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Mailing address
Pediatrics Walter Reed National Military Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jane.a.crotteau.mil@mail.mil |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206452 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1891258034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PEDIATRICS WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 WISCONSIN AVENUE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTTEAU",
"first_name": "JANE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2022-10-24",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102206452",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jane.a.crotteau.mil@mail.mil",
"affiliation": "N",
"address_1": "Madigan Army Medical Center 9040A Jackson Ave",
"city": "Joint Base Lewis McChord",
"state": "WA",
"country_code": "US",
"postal_code": "984310001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.