Individual provider Active NPI

Alisha Amanda Crabbe

  • Pediatric Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1982305421
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5017932 Issued in NC
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

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230501001943 NC Practitioner - Nurse Practitioner 1951766765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2025 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

  • Direct secure messaging: acrabbe816577@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.