Jacob Victor Crawford, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP10048 Issued in LA

Practice address

307 Chisum St
Sicily Island, LA 71368-4807

Phone

(318) 389-5727

Fax

(318) 389-4028

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catahoula Parish Hospital District No 2Group PAC ID 8729067434, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegiance Home Home Health of East Louisiana Home health agency, Jonesville, LA, CCN 197891
• Louisiana Homecare of Miss-Lou Home health agency, Ferriday, LA, CCN 197063
• Lasalle General Hospital Hospital, Jena, LA, CCN 190145
• Riverland Medical Center Hospital, Ferriday, LA, CCN 191318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.crawford.p1@direct.rfcatahoulaparish1.nextgenshare.com

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.

• Catahoula Parish Hospital District No 2

  dba Island Medical

  • Federally Qualified Health Center (FQHC)
  • Sicily Island, LA
  • NPI 1770622631
  Medicare reassignment Care Compare group NPD
• Catahoula Parish Hospital District No 2

  dba Ferriday Health West

  • Federally Qualified Health Center (FQHC)
  • Ferriday, LA
  • NPI 1245097492
  NPD
• Catahoula Parish Hospital District No 2

  • Federally Qualified Health Center (FQHC)
  • Jonesville, LA
  • NPI 1245629260
  NPD (past)
• Catahoula Parish Hospital District No 2

  • Federally Qualified Health Center (FQHC)
  • Ferriday, LA
  • NPI 1861531014
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allegiance Home Health of East Louisiana LLC

  • Home Health Agency
  • Jonesville, LA
  • NPI 1811758022
  Care Compare affiliation
• Concordia Parish Hospital Service District Number One

  dba Trinity Medical

  • Critical Access Hospital
  • Ferriday, LA
  • NPI 1144227935
  Care Compare affiliation
• Hospital Service District #2 of Lasalle Parish

  dba LaSalle General Hospital

  • General Acute Care Hospital
  • Jena, LA
  • NPI 1801825005
  Care Compare affiliation
• Louisiana Homecare of Miss-Lou, LLC

  • Home Health Agency
  • Jonesville, LA
  • NPI 1922046226
  Care Compare affiliation

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1962987586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713680008",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHISUM ST",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713684807",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Foster St",
            "address_purpose": "LOCATION",
            "city": "Jonesville",
            "state": "LA",
            "postal_code": "713432781",
            "country_code": "US",
            "telephone_number": "318-339-7265",
            "fax_number": "318-339-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302A Bushley St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "LA",
            "postal_code": "713401656",
            "country_code": "US",
            "telephone_number": "318-744-5504",
            "fax_number": "318-744-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Wisner",
            "state": "LA",
            "postal_code": "713784660",
            "country_code": "US",
            "telephone_number": "318-724-7008",
            "fax_number": "318-724-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Serio Blvd",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342013",
            "country_code": "US",
            "telephone_number": "318-757-6969",
            "fax_number": "318-757-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JACOB",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP10048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catahoula Parish Hospital District No 2 (Island Medical)
• Catahoula Parish Hospital District No. 2 (Island Dental)
• Catahoula Parish Hospital No. 2 (Harrisonburg Family Health)
• Angie W. Caylor, M. A., CCC-SLP
• Closing the Gap, L.L.C.
• D.C. Lamarr Contracting LLC
• Deep South Medical Supply, LLC
• Summer Leigh Greer, NP-C
• Frances Hester, DR
• Island Drug and Wellness, LLC

• Primary Care Nurse Practitioner in Sicily Island, LA
• Providers in Sicily Island, LA by specialty
• Primary Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.