Nra-Crossville, Tennessee, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NRA-CROSSVILLE, TENNESSEE, LLC

Practice address

99 Dooley St
Crossville, TN 38555-4075

Phone

(931) 213-3410

Fax

(931) 202-3017

NPI assigned

Jan 17, 2022

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nra-Crossville, Tennessee, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crossville, TN
  • NPI 1265489686

  5092771758

  Same PAC ID

Organizations that report the same tax identification number in the National Provider Directory.

• Nra-Crossville, Tennessee, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crossville, TN
  • NPI 1265489686
  NPD tax ID

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn S Parish, APN

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1821575473
  NPD (past)

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gabino Manuel Mariano Maza Rodas, M.D.

  • Nephrology Physician
  • Madison, WI
  • NPI 1710484241

  Dialysis facility

  Care Compare affiliation Name & address match

Listed as

FKC Crossville Home TherapiesCCN 442772

Ownership

Profit

Certified

Sep 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in TN

Tax ID family

Ability Network (2 organizations share this tax ID)

Locations

• Fresenius Kidney Care Crossville Home Therapies Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2026.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1033860481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DOOLEY ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554075",
            "telephone_number": "931-213-3410",
            "fax_number": "931-202-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DOOLEY ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554075",
            "telephone_number": "931-213-3410",
            "fax_number": "931-202-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA-CROSSVILLE, TENNESSEE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2022-01-17",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresenius Kidney Care Crossville Home Therapies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresenius Kidney Care Crossville Home Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Crossville, TN
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.