Rezja Crosby

Physician • Raymore, MO

Deactivated NPI 1104514157 Deactivated in NPPES Female Practitioner

Practice location in NPPES

1017 Johnston Dr
Raymore, MO 640839011

Phone: 8169140428

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 17, 2023; the reason is not published. The records below are historical. They do not show whether Rezja Crosby currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 27, 2023

NPI Deactivation Date August 17, 2023

NPI Active Period 2023 – 2023

Practice Location & Contact Primary Location

Practice Address

1017 Johnston Dr

Raymore, MO 640839011

Telephone 8169140428

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Raymore and Missouri

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated August 17, 2023

NPPES lists this NPI as deactivated as of August 17, 2023; the reason is not published.

✅

NPI Profile Active April 27, 2023

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 27, 2023

Registered at 1017 JOHNSTON DR, RAYMORE, MO 640839011 (Tel: 8169140428)

📍

Business Mailing Address (Initial Record) April 27, 2023

Registered at 1017 JOHNSTON DR, RAYMORE, MO 640839011 (Tel: 8169140428)

👤

Provider Name / Credentials (Initial Record) April 27, 2023

Recorded as REZJA CROSBY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2023

Non-emergency Medical Transport (VAN)

🟢

Initial NPI Registration & Enumeration April 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104514157

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2023

Last Update: April 27, 2023

Deactivation Date: August 17, 2023

Update or Correct Profile

Mailing Address

1017 Johnston Dr

Raymore, MO 640839011

Phone: 8169140428

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.