Individual provider Active NPI

Hannah Crowl, NP

  • Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1932446598
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21974 Issued in CA
Practice address
1119 E Monte Vista Ave
Vacaville, CA 95688-3009
Phone
(707) 469-4540
Fax
(707) 421-6759
NPI assigned
Jan 15, 2013
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21974 CA Primary

Addresses

Primary practice location

1119 E Monte Vista Ave
Vacaville, CA 95688-3009

Mailing address

275 Beck Ave # Ms 5210
Fairfield, CA 94533-6804
Phone (707) 784-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21974CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. Current Accepting new patients
Mukesh H Naik DO Inc PastSince Nov 5, 2007 Accepting new patients

Locations

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

Interoperability endpoints

  • Direct secure messaging: hannah.crowl.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: hcrowl768090@direct.ochin.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1932446598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE # MS 5210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8575",
            "fax_number": "707-421-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883009",
            "telephone_number": "707-469-4540",
            "fax_number": "707-421-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWL",
        "first_name": "HANNAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.