CHRISTIE RAE CRUMP NP NPI 1134436322

NPI Information

NPI: 1134436322
Provider Name: CHRISTIE RAE CRUMP, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
367 CLEAR CREEK PKWY
LAVONIA, GA
ZIP 30503
Phone: (770) 219-7078
Get Directions

Christie Rae Crump, NP is a family nurse practitioner in Lavonia, GA with 14 years of experience. Christie Rae Crump, NP NPI is 1134436322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

367 CLEAR CREEK PKWY
LAVONIA, GA
ZIP 30503-658
Phone: (770) 219-7078
Fax: (770) 219-7365

The NPI 1134436322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN155758	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	222017877B	MEDICAID	GEORGIA
2	01377753	OTHER	GEORGIA	AMERIGROUP
3	567122	OTHER	GEORGIA	WELLCARE
4	222017877A	MEDICAID	GEORGIA
5	222017877C	MEDICAID	GEORGIA
6	222017877E	MEDICAID	GEORGIA
7	222017877D	MEDICAID	GEORGIA
8	202I500941	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »