Crossroads Family Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CROSSROADS FAMILY CLINIC

Practice address

75 County Road 576
Rogersville, AL 35652

Phone

(256) 443-3171

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Tennell Garrett, CRNPNPI 1316144264

Title

Owner/Provider

Phone

(256) 443-3171

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Tennell Garrett, CRNP

  • Nurse Practitioner
  • Killen, AL
  • NPI 1316144264
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1063089985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COUNTY ROAD 576",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-443-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COUNTY ROAD 576",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-443-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "TENNELL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "256-443-3171",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Campbell, MD
• Alexsis Shea Casteel, LICSW
• Clayton Chapin, DPT
• Charles Anthony Gaputis
• Community Health, Inc.
• Crossroads Family Clinic, LLC
• Gerald Cunningham, D.C.
• Amanda Tucker Davis, PHARMD
• Miranda Beth Whitsett Davis, PHARMD.
• Dental Associates of Rogersville, LLC

• Family Nurse Practitioner in Rogersville, AL
• Providers in Rogersville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.