Active NPI
Frederica Crutcher
- Other Technician
- Huntsville, AL
National Provider Identifier
1972939874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 2472B0301X
- Practice address
- 198 Ford Circle
Huntsville, AL 35811 - Phone
- (256) 604-7906
- NPI assigned
- Sep 24, 2013
- Last updated
- Sep 24, 2013
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 2472B0301X | AL | Primary |
Addresses
Primary practice location
198 Ford Circle
Huntsville, AL 35811
Mailing address
198 Ford Circle
Huntsville, AL 35811
Phone (256) 604-7906
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2472B0301X | AL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1972939874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 FORD CIRCLE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35811",
"telephone_number": "256-604-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 FORD CIRCLE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35811",
"telephone_number": "256-604-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHER",
"first_name": "FREDERICA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "AL",
"license": "2472B0301X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.