LACEY L CRABB (NPI# 1437306321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437306321 |
| Entity Type | Individual |
| Full Name | LACEY L CRABB |
| Credential | FNP |
| Practice Address |
1414 W Fair Ave Suite 342 Marquette MI 49855-2675 |
| Practice Telephone | 9062253870 |
| Practice Fax Number | 9062253975 |
| Mailing Telephone | 9062253870 |
| Mailing Fax Number | 9062253975 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2009-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4704244170 | MI | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 4704244170 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1437306321 | 05 | |
| MI | BCBS OF MI | 0870768 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 5008707680 | 01 |
| Street Address |
1414 W FAIR AVE SUITE 342 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090994 | John P Bartlett | Internal Medicine | 1414 W Fair Ave, Ste 201, Marquette, MI 49855-5406 | 2005-06-02 |
| 1255995726 | Jennifer Helen Johnson | Pharmacist | 1414 W Fair Ave, Ste 133, Marquette, MI 49855-5408 | 2019-04-30 |
| 1205336260 | Adfinitas Health At Up Marquette, Pllc | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-02-16 |
| 1770091381 | Adfinitas Health At Marquette, LLC | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-01-17 |
| 1982139929 | Jeffrey Sweers | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-27 |
| 1598290991 | Rebecca Reinertsen | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
| 1265967665 | Dexter D Clark | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
| 1972956860 | William Barker | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-07-15 |
| 1093165763 | Kathryn Lerche | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
| 1699125377 | Riley Torreano | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1407136575 | Christina Bambach | Nurse Practitioner | 2924 Parkview Dr, Marquette, MI 49855-8840 | 2011-08-22 |
| 1265665095 | Elizabeth Ann Benzie | Nurse Practitioner | 1705 Harbour View Dr, Marquette, MI 49855-5069 | 2009-08-27 |
| 1255507828 | Georgia A Summers | Nurse Practitioner | 425 Corning St, Marquette, MI 49855-9306 | 2008-05-05 |
| 1225238991 | Tonia Darline Kroll | Nurse Practitioner | 2837 Us 41 W, Marquette, MI 49855-2252 | 2007-07-20 |
| 1932131547 | Marquette General Hospital | Nurse Practitioner | 1414 W Fair Ave Ste 332, Marquette, MI 49855-5407 | 2006-07-06 |
| 1467090076 | Amber Marie Dahlstrom | Nurse Practitioner | 1414 W Fair Ave Ste 201, Marquette, MI 49855-5406 | 2019-12-13 |
| 1275931123 | Matthew Hockberger | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2014-12-09 |
| 1750798799 | Samantha A. Conklin | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2014-07-22 |
| 1982952404 | Dlp Marquette Physician Practices Inc | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2012-08-15 |
| 1134487796 | Jamie Edward Hill | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2012-05-01 |
| Find all providers in MARQUETTE | ||||
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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.