JULIA MARIE CROUCH (NPI# 1336700418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336700418 |
Entity Type | Individual |
Full Name | JULIA MARIE CROUCH |
Credential | DNP |
Practice Address |
1425 Nw Blue Pkwy Lees Summit MO 64086-5705 |
Mailing Address |
116 Huntington Rd Kansas City MO 64113-1429 |
Practice Telephone | 8165245600 |
Mailing Telephone | 9137095472 |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2019026169 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1425 NW BLUE PKWY |
City | LEES SUMMIT |
State | MO |
Zip Code | 64086-5705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285631010 | Lisa B. Fletcher | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2005-07-07 |
1114540085 | Children's Mercy-community Choice Pediatrics | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-05-26 |
1174156343 | Lee's Summit Physicians Group - Internal Medicine LLC | Internal Medicine | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-02-17 |
1659835395 | Holly Lynn Prather | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-01-28 |
1871029652 | Jared Kevern | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2017-05-11 |
1679957112 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2015-07-15 |
1225443625 | Tiffany Vitt | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2014-06-24 |
1720351026 | Cindy M Aldrige | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2012-02-16 |
1306076336 | Sarah E Dedrick | Clinical Nurse Specialist | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2009-07-24 |
1194954081 | Danielle Marie Leivian | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2009-07-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
Find all providers in zip 64086 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942323985 | Amy D Phillips | Nurse Practitioner | 3171 Ne Carnegie Dr, Suite A, Lees Summit, MO 64064-3215 | 2007-04-06 |
1659835395 | Holly Lynn Prather | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-01-28 |
1225443625 | Tiffany Vitt | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2014-06-24 |
1871804666 | Angela N Stott | Nurse Practitioner | 821 Sw Lemans Ln, Lees Summit, MO 64082-4618 | 2010-06-25 |
1881746303 | Julie E Kirkpatrick | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2007-01-17 |
1194899898 | Camille Rae Lucito | Nurse Practitioner | 3171 Ne Carnegie Dr Ste A, Lees Summit, MO 64064 | 2006-11-17 |
1396712899 | Sherry J Quick | Nurse Practitioner | 241 Nw Mcnary Ct, Lees Summit, MO 64086-4011 | 2006-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
Find all providers with the same taxonomy |
City | LEES SUMMIT |
Zip Code | 64086 |
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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.