SALLY ANN CRENSHAW (NPI# 1376652644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376652644 |
| Entity Type | Individual |
| Full Name | SALLY ANN CRENSHAW |
| Credential | N.P. |
| Practice Address |
112 Saint John St Monroe LA 71201-7322 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3183875681 |
| Practice Fax Number | 3183229957 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP04553 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1581747 | 05 |
| Street Address |
112 SAINT JOHN ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396704375 | Patrick G Jones | Family Medicine | 112 Saint John St, Monroe, LA 71201-7322 | 2006-03-20 |
| 1659997732 | Brittany R Basco | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2020-06-24 |
| 1902288970 | Ryan Grimmett | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2015-06-25 |
| 1083029987 | Cammie Maxwell Neatherland | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2014-06-30 |
| 1184791287 | Affinity Health Group, LLC | Nurse Practitioner | 112 Saint John St, Monroe, LA 71201-7322 | 2006-11-30 |
| 1528072188 | Theresa J Ross | General Practice | 112 Saint John St, Monroe, LA 71201-7322 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1205496361 | Anna Grace Livingston | Nurse Practitioner | 2509 Broadmoor Blvd Ste A, Monroe, LA 71201-3184 | 2019-06-19 |
| 1255898417 | Natalie Movsessian | Nurse Practitioner | 402 Stewart Rd, Monroe, MI 48162-4273 | 2019-02-25 |
| 1609358829 | Connie Sue Keller | Nurse Practitioner | 5038 Southpointe Pkwy, Monroe, MI 48161-4540 | 2018-09-04 |
| 1932689965 | Lewis Medical of Northeast Louisiana | Nurse Practitioner | 470 Springhill Rd, Monroe, LA 71203-9696 | 2018-08-20 |
| 1407348352 | Matthew D Mcguffee | Nurse Practitioner | 2516 Broadmoor Blvd Ste 2c-2, Monroe, LA 71201-2988 | 2018-06-05 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1104352319 | Cliff R. Ferreira | Nurse Practitioner | 730 N Monroe St, Suite #319, Monroe, MI 48162-2972 | 2017-05-08 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.