KELLEY CHAMP CRUMPLER LVN
NPI 1629544630
Licensed Vocational Nurse in College Station, TX

Active since October 17, 2018
4508 MILLS PARK CIR STE 100, COLLEGE STATION, TX 77845(979) 402-3714 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley Champ Crumpler Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY CHAMP CRUMPLER LVN (NPI 1629544630) is an individual licensed vocational nurse in College Station, Texas, licensed in Texas (195614) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1629544630
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLEY CHAMP CRUMPLERCredential: LVN
Location Address4508 MILLS PARK CIR STE 100College Station, TX 77845-1100
Mailing Address4508 Mills Park Cir Ste 100College Station, TX 77845-1100 · (979) 402-3714
Sole ProprietorYes
Enumeration DateOctober 17, 2018
NPI 1629544630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in TX · 195614
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4508 MILLS PARK CIR STE 100, College Station, TX 77845

Other Identifiers 1

Other46-4404759TX · Medical Business Tin

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Crumpler's NPI number?

The NPI number for Kelley Crumpler is 1629544630. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Kelley Crumpler located?

Kelley Crumpler practices at 4508 Mills Park Cir Ste 100, College Station, TX 77845. The listed phone number is (979) 402-3714.

What is Kelley Crumpler's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelley Crumpler was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.