Individual provider Active NPI

Teresa Marie Crowder, RN

  • Registered Nurse
  • Orange Park, FL
National Provider Identifier
1902406580
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9422772 Issued in FL
Practice address
1101 Blanding Blvd Ste 105
Orange Park, FL 32065-6700
Phone
(904) 637-5237
NPI assigned
Oct 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9422772 FL Primary

Addresses

Primary practice location

1101 Blanding Blvd Ste 105
Orange Park, FL 32065-6700

Mailing address

1101 Blanding Blvd Ste 105
Orange Park, FL 32065-6700
Phone (904) 637-5237

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nurse.crowder@helpingheartstraining.net Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9422772FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hearts Medical Training Services LLC CurrentSince Apr 6, 2021 Accepting new patients

Locations

1101 Blanding Blvd
Ste 105
Orange Park, FL 32065
Phone (904) 603-3851

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1902406580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BLANDING BLVD STE 105",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656700",
            "telephone_number": "904-637-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BLANDING BLVD STE 105",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656700",
            "telephone_number": "904-637-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9422772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nurse.crowder@helpingheartstraining.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Blanding Blvd Ste 105",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320656700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.