Crowley Cares Family Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APO7715 Issued in LA

Legal business name

CROWLEY CARES FAMILY CLINIC

Practice address

576 N Avenue G
Crowley, LA 70526-4441

Phone

(337) 296-6601

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Helo BlakeNPI 1295152908

Title

Practitioner/Owner

Phone

(337) 296-6601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Crowley Cares Family Clinic

  • Rural Health Clinic/Center
  • Crowley, LA
  • NPI 1326593948

  8426331927

  Same PAC ID

Tax ID family

Crowley Cares Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crowley Cares Family Clinic

  • Rural Health Clinic/Center
  • Crowley, LA
  • NPI 1326593948
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Helo Blake, FNP

  • Family Nurse Practitioner
  • Crowley, LA
  • NPI 1295152908
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1982068102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N AVENUE G",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N AVENUE G",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264441",
            "telephone_number": "337-296-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY CARES FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "HELO",
        "authorized_official_title_or_position": "PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "337-296-6601"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO7715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Credeur, MCD, CCC-SLP
• Tracey D Credeur, RN
• Crowley & Jennings Nephrology & Hypertension LLC
• Crowley Cardiac Wellness LLC
• Crowley Cares Family Clinic
• Crowley Emergency Group LLC
• Crowley Home Health Services, Inc. (Professional Home Health of Southwest LA)
• Crowley Primary Care, LLC
• Crowley Psychiatric Hospital (Compass Behavioral Center)
• Crowley Walk in Clinic Corporation

• Family Nurse Practitioner in Crowley, LA
• Providers in Crowley, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.