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Julie Nicole Crawford

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8033 Dixie Highway, Louisville, KY 40258-1344

PECOS Enrollment

This provider is enrolled in PECOS as JULIE CRAWFORD.

Based on the most recent information from CMS, provider Julie Nicole Crawford is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1932828696
Provider Type
Individual
Full Name
Crawford, Julie Nicole
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/25/2022
Last Updated
4/26/2024

Contact Information

Practice Location

8033 Dixie Highway, Louisville, KY 40258-1344

(502) 937-3154

Unlisted Fax

Mailing Location

PO Box 776351, Chicago, IL 60677-6351

(502) 559-9337

(502) 272-5339

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3016920 Kentucky
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 3016920 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 300066965	Description Medicaid	Issuer Unlisted Indiana
ID 7100844920	Description Medicaid	Issuer Unlisted Kentucky
ID K410910	Description Other	Issuer MEDICARE Kentucky

Julie Nicole Crawford

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Cull, Elizabeth Ann

Brackett, Aletha Nicole

Morales Martin, Yoandis

Simpson, Mandie

Gift, Meaghan Marrett

Swift, Christopher Michael

Elm, Katelin H

White, Celeste Magen

Coleman, Lindsay Nicole

Obst, Lynne Marie