Carla M. Creekmore, C.R.N.P

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R139268 Issued in MD

Practice address

5211 Commerce Crossings Dr
Louisville, KY 40229-2183

Phone

(502) 966-3918

Fax

(502) 969-3665

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carla M.C. Fritz Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlacreekmorecrnp@childrensm.allscriptsdirect.net

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.

• Norton Children'S Medical Group, LLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457999096

  Pediatrics

  Medicare reassignment NPD
• Norton Children'S Medical Group, LLC

  • Pediatric Radiology Physician
  • Louisville, KY
  • NPI 1659913812
  NPD
• Norton Childrens Medical Group, LLC

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1326695255
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1922058643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "address_2": "CHILDREN'S MEDICAL GROUP",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022755",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 COMMERCE CROSSINGS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292183",
            "telephone_number": "502-966-3918",
            "fax_number": "502-969-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEKMORE",
        "first_name": "CARLA",
        "middle_name": "M.",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R139268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409219800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccreekmore189310@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "5211 Commerce Crossings Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402292183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5211 Commerce Crossings Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402292183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "FRITZ",
            "middle_name": "M.C.",
            "credential": "C.R.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sue Crecelius, M.D.
• John Lewis Creech III, DMD
• Lauren Ashley Creech
• Peter William Creech, MD
• Keaton Creed, PHARMD
• Joseph J Creely III, MD
• Aimee Creger
• Katherine Cregor, APRN
• Ashton Laine Crenshaw, BS, RBT
• Marisa L Crenshaw, APRN

• Pediatric Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.