Mary A Crowder, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Practice address

2379 N 63Rd St
Wauwatosa, WI 53213-1543

Phone

(414) 771-6507

Fax

(414) 771-1181

NPI assigned

Oct 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192838400000",
    "number": "1902095409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 N 63RD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131543",
            "telephone_number": "414-771-6507",
            "fax_number": "414-771-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 N 63RD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131543",
            "telephone_number": "414-771-6507",
            "fax_number": "414-771-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44018000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Crego, DDS
• Michael Crimmins, MD
• James Jeffrey Crisco, PH.D.
• Julia Kristin Crivello
• Lauren Croal, D.P.T.
• John Crowe, P.T., L.A.T.
• Steven Croyle, PA
• Veronica Cruz, LPC-IT
• Chen Cui, M.D.
• Michael J Culotti

• Case Management Registered Nurse in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Case Management Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; 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.