Active NPI
Alisha Amanda Crabbe
- Pediatric Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1982305421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5017932
- Practice address
- 6331 Carmel Rd
Charlotte, NC 28226-8282 - Phone
- (704) 724-0735
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 271695 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 5017932 | NC | Primary |
Addresses
Primary practice location
6331 Carmel Rd
Charlotte, NC 28226-8282
Mailing address
3304 McPherson St
Waxhaw, NC 28173-6402
Phone (980) 422-1235
Other practice location 1
5800 Old Pineville Rd
Charlotte, NC 28217-4106
Phone (704) 393-7720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The C.W. Williams Community Health Center, Inc | Past | Accepting new patients | |
| The C. W. Williams Community Health Center, Inc | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
3173 W Highway 74
Monroe, NC 28110
Phone (704) 283-2000
Interoperability endpoints
- acrabbe816577@carolinashealthcaresystem.direct-ci.com
- acrabbe504573@direct.novanthealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Pediatrics Physician
- Monroe, NC
- NPI 1538415906
-
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1447417670
-
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1558308080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1982305421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 MCPHERSON ST",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736402",
"telephone_number": "980-422-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6331 CARMEL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268282",
"telephone_number": "704-724-0735"
}
],
"practiceLocations": [
{
"address_1": "5800 Old Pineville Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282174106",
"country_code": "US",
"telephone_number": "704-393-7720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRABBE",
"first_name": "ALISHA",
"middle_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "271695",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5017932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.