SHALISHA KIMBERLY CROUCH NP NPI 1487898904

NPI Information

NPI: 1487898904
Provider Name: SHALISHA KIMBERLY CROUCH, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MATTAPAN COMMUNITY HEALTH CENTER, INC.

PECOS Registration: Yes

Address:
850 HARRISON AVE
BOSTON, MA
ZIP 02118
Phone: (617) 414-5245
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Shalisha Kimberly Crouch, NP is a psychiatric/mental health nurse practitioner in Boston, MA with 15 years of experience. Shalisha Kimberly Crouch, NP NPI is 1487898904. 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:

850 HARRISON AVE
BOSTON, MA
ZIP 02118-001
Phone: (617) 414-5245
Fax: (617) 638-6836

The NPI 1487898904 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 4/28/2009 and was last updated on 10/16/2014.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN280992	MASSACHUSETTS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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