MRS. REBA E CROWELL (NPI# 1457435687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457435687 |
| Entity Type | Individual |
| Full Name | MRS. REBA E CROWELL |
| Credential | ANP-C |
| Practice Address |
4100 West 3rd Street Dayton OH 45428 |
| Mailing Address |
10435 State Route 127 West Mancheter OH 45382 |
| Practice Telephone | 9372686511 |
| Practice Fax Number | 9372675382 |
| Mailing Telephone | 9372623390 |
| Mailing Fax Number | 9372675382 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP-07852 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 WEST 3RD STREET |
| City | DAYTON |
| State | OH |
| Zip Code | 45428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| 1386739241 | Kimmy Kay Bloch | Kinesiotherapist | 4100 West Third St., Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073052 | Brittany Ann Flynn | Nurse Practitioner | 2200 Miami Valley Dr, Dayton, OH 45459-4783 | 2020-11-03 |
| 1164064077 | Laura Cristina Schimmoeller | Nurse Practitioner | 4100 W 3rd St, Dayton, OH 45428-9000 | 2019-10-11 |
| 1689145013 | Ebenezer Akoi Asiedu | Nurse Practitioner | 725 S Ludlow St, Dayton, OH 45402-2610 | 2018-12-11 |
| 1952804437 | Sherry M Arnold | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-03-12 |
| 1740730159 | Karen Christian | Nurse Practitioner | 1520 S Main St Ste 3, Dayton, OH 45409-2643 | 2016-10-10 |
| 1083018030 | Stacey Childress | Nurse Practitioner | 30 E Apple St, Ste 3300, Dayton, OH 45409-2939 | 2014-10-20 |
| 1023359106 | Anne Marie House | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-03-14 |
| 1366787962 | Karla Shearer | Nurse Practitioner | 40 N Main St, Suite 1360, Dayton, OH 45423-1021 | 2012-12-07 |
| 1427309202 | Hannah Marie Moore | Nurse Practitioner | 2132 E 3rd St, Dayton, OH 45403-1991 | 2012-09-20 |
| 1003182585 | David Lee Evers | Nurse Practitioner | 122 Wyoming St, Dayton, OH 45409-2731 | 2012-03-28 |
| Find all providers in DAYTON | ||||
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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.