Active NPI
Yarnell Crawford
- Contractor
- Cincinnati, OH
National Provider Identifier
1972058360
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 0163753
- Practice address
- 260 Northland Blvd
131 B
Cincinnati, OH 45246-4917 - Phone
- (513) 908-7016
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 0163753 | OH | Primary |
Addresses
Primary practice location
260 Northland Blvd
131 B
Cincinnati, OH 45246-4917
Mailing address
260 Northland Blvd
131 B
Cincinnati, OH 45246-4917
Phone (513) 908-7016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0163753 | Medicaid | OH |
Other names 1
- Yarnell McKenzie
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0163753 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1972058360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 NORTHLAND BLVD",
"address_2": "131 B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464917",
"telephone_number": "513-908-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 NORTHLAND BLVD",
"address_2": "131 B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464917",
"telephone_number": "513-908-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "YARNELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "0163753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0163753",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YARNELL",
"last_name": "MCKENZIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.