Individual provider Active NPI

Shana Crawford, RN

  • Registered Nurse
  • Marietta, GA
National Provider Identifier
1992231641
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
GA208201 Issued in GA
Practice address
528 Water Birch Way
Marietta, GA 30066-5820
Phone
(678) 612-2700
Fax
(678) 840-0083
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
GA208201GAMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Healthcare Services Past Accepting new patients

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X GA208201 GA Primary
Adult Companion 372600000X GA208201 GA
Day Training/Habilitation Specialist 373H00000X GA208201 GA
Personal Care Attendant 3747P1801X GA208201 GA
Home Health Aide 374U00000X GA208201 GA

Addresses

NPPES NPI Registry

Primary practice location

528 Water Birch Way
Marietta, GA 30066-5820

Mailing address

528 Water Birch Way
Marietta, GA 30066-5820
Phone (678) 612-2700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2017.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1992231641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WATER BIRCH WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665820",
            "telephone_number": "678-612-2700",
            "fax_number": "678-840-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WATER BIRCH WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665820",
            "telephone_number": "678-612-2700",
            "fax_number": "678-840-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SHANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "GA208201",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": "GA208201",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "GA",
            "license": "GA208201",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "GA",
            "license": "GA208201",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "GA208201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.