DR. CARRIE CROWNOVER (NPI# 1780631747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780631747 |
| Entity Type | Individual |
| Full Name | DR. CARRIE CROWNOVER |
| Credential | LP |
| Practice Address |
5500 E Kellogg Dr Wichita KS 67218-1607 |
| Practice Telephone | 3166513621 |
| Practice Fax Number | 3166343091 |
| Mailing Telephone | 3166513621 |
| Mailing Fax Number | 3166343091 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1759 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 10097960A | 05 | |
| KS | BLUE CROSS | 201736 | 01 |
| Street Address |
5500 E KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729673 | Catherine A Toomey | Physician Assistant | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-06-13 |
| 1225642051 | Mark Clark | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-31 |
| 1598377483 | Rachel Elaine Donis | Occupational Therapist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-20 |
| 1164030060 | Jacob Michael Goeser | Optometrist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-07-16 |
| 1992329262 | Aimee Boriboun | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-06-02 |
| 1760012900 | Lisa Christy | Nurse Practitioner | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-01-15 |
| 1790324499 | Linda Walim Nola | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-12-27 |
| 1164078010 | Daniel Steven Haley | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-16 |
| 1790331783 | Jason Alan Jester | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-15 |
| 1629624770 | Emily Suzanne Stuart | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164928925 | Sarah M Rogers | Psychologist | 6606 W Central Ave, Wichita, KS 67212-3315 | 2018-04-02 |
| 1356685283 | Darwin L Eads | Psychologist | 1508 N Ridgehurst St, Wichita, KS 67230-7259 | 2012-11-15 |
| 1659594653 | Chris Ebberwein Ph.d., P.a. | Psychologist | 10222 W Central Ave Ste 202, Wichita, KS 67212-4613 | 2007-04-10 |
| 1487629861 | Gloria Jean Jones | Psychologist | 8339 E Stoneridge St, Wichita, KS 67206-2331 | 2006-02-21 |
| 1477033546 | Heather Lauren Cornett | Psychologist | 9333 E 21st St N, Wichita, KS 67206-2927 | 2018-08-17 |
| 1649775750 | Joshua T Gilbertson | Psychologist | 5500 E Kellogg Dr, Wichita, KS 67218 | 2018-03-29 |
| 1407252851 | Emily J. Runyan Lcp, LLC | Psychologist | 4601 E Douglas Ave, Office 128, Wichita, KS 67218-1031 | 2014-11-12 |
| 1407255276 | Erin M. Gallivan | Psychologist | 1845 Fairmount St, Wichita, KS 67260-0091 | 2014-08-18 |
| 1740615194 | Emily Meyerhoffer-kubalik | Psychologist | 7701 E Kellogg Dr, Ste 300, Wichita, KS 67207-1706 | 2013-09-04 |
| 1033458559 | Heather Ann Hamilton | Psychologist | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2013-02-04 |
| Find all providers in WICHITA | ||||
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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.