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Deactivated NPI 1376652644 Deactivated / Inactive NPI Female Practitioner

Sally Ann Crenshaw , NP

Nurse Practitioner • Monroe, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sally Crenshaw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date February 19, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Sally Crenshaw, NP was a registered Nurse Practitioner practicing in Monroe, LA. Throughout an active medical career spanning 14 years, Sally Crenshaw provided care at the practice location at 112 SAINT JOHN ST until profile deactivation on 2020-02-19.

Practice Location & Contact Primary Location

Practice Address

112 Saint John St

Monroe, LA 712017322

Telephone 3183875681
Fax 3183229957
Associated Practice Facility / Clinic
🏢 Affinity Health Group, Llc Facility NPI 1184791287

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Monroe, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Monroe, LA (948 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License LA AP04553

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Patrick Jones , MD

Family Medicine

NPI 1396704375

Doctor of Medicine (M.D.)

Dr. Theresa Ross , MD

General Practice

NPI 1528072188

Doctor of Medicine (M.D.)

Sherry Acree , NP

Nurse Practitioner - Family

NPI 1841185022

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 19, 2020

Record deactivated on February 19, 2020

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2015

Registered at 112 SAINT JOHN ST, MONROE, LA 712017322 (Tel: 3183875681)

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Updated Business Mailing Address June 30, 2015

Registered at 130 DESIARD ST, SUITE 355, MONROE, LA 712017319 (Tel: 3188077875)

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Provider Name / Credentials Updated June 30, 2015

Recorded as SALLY CRENSHAW, N.P.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Nurse Practitioner (License #AP04553 in LA)

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376652644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: June 30, 2015
Deactivation Date: February 19, 2020

Mailing Address

130 Desiard St, Suite 355

Monroe, LA 712017319

Phone: 3188077875

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.