MRS. KELLY SMITH CRAWFORD (NPI# 1588938450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588938450 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SMITH CRAWFORD |
| Credential | DNP, APRN, FNP-BC |
| Practice Address |
817 Ardennes Ct Shreveport LA 71115-4613 |
| Mailing Address |
2539 Viking Drive Suite 101 Bossier City LA 71111-2165 |
| Practice Telephone | 3183476220 |
| Mailing Telephone | 3187478100 |
| Mailing Fax Number | 3189328939 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06750 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2197959 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669710950 | Kelly Ann Crawford | Occupational Therapist | 2403 Grant Ct, Eagleville, PA 19403-5266 | 2013-01-22 |
| 1770814899 | Kelly Crawford | Pharmacist | 922 Spencer St, Syracuse, NY 13204-1137 | 2010-01-29 |
| 1801892492 | Kelly R Crawford | Physician Assistant | 108 Dornach Way, Advance, NC 27006-7305 | 2005-06-28 |
| 1194342956 | Kelly Crawford | Behavior Technician | 10150 Highland Manor Dr Ste 200, Tampa, FL 33610-9712 | 2020-06-28 |
| 1225558588 | Kelly V Crawford | Nurse Practitioner | 103 Liner Dr, Greenwood, SC 29646-2311 | 2017-06-27 |
| 1346405156 | Kelly Crawford | Physical Medicine & Rehabilitation | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2008-07-21 |
| 1538354386 | Kelly C Crawford | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2007-09-13 |
| 1134205644 | Kelly Louis Crawford | Hospitalist | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1275562142 | Kelly N Crawford | Internal Medicine | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2006-07-02 |
| Street Address |
817 ARDENNES CT |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798291 | Sick Day Rx LLC | Clinic/Center | 817 Ardennes Ct, Shreveport, LA 71115-4613 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| 1801407325 | Mariagoretti Lumnwi Niba | Nurse Practitioner | 1535 River Parkway Blvd Apt 708, Shreveport, LA 71104-1809 | 2020-08-10 |
| 1437768447 | Sheena Renaye Youngblood | Nurse Practitioner | 1453 E Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71105-6810 | 2020-07-26 |
| 1285265397 | Karen Elizabeth Jordan | Nurse Practitioner | 172 Southfield Rd, Shreveport, LA 71105-3721 | 2020-01-28 |
| 1235776709 | Malene Nilaja Coleman | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Unit 210, Shreveport, LA 71105-5740 | 2019-12-04 |
| 1417504093 | Roberto Rodriquez Monsanto II | Nurse Practitioner | 3724 Baxter St, Shreveport, LA 71109-7402 | 2019-08-20 |
| 1275188757 | Sara Vergis | Nurse Practitioner | 10453 Keysburg Ct, Shreveport, LA 71106-7785 | 2019-08-02 |
| 1457912800 | Ema-chanel Johnson | Nurse Practitioner | 8219 Spring Valley Cir, Shreveport, LA 71107-8609 | 2019-06-26 |
| 1083170666 | Vanisha Faye Williams | Nurse Practitioner | 8857 Hedges Dr, Shreveport, LA 71118-2008 | 2019-02-19 |
| 1700366655 | Wendy King | Nurse Practitioner | 3060 Duncan Dr, Shreveport, LA 71119-2302 | 2018-08-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
Please comment or provide details below to improve the information on MRS. KELLY SMITH CRAWFORD.
| 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.