Jacqueline Crawford, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD30506 Issued in TN

Practice address

10800 Parkside Dr
Suite 203
Knoxville, TN 37934-1922

Phone

(865) 218-8333

Fax

(865) 218-6228

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacqueline S. Crawford, MD, PLLC

  • Neurology Physician
  • Knoxville, TN
  • NPI 1649209321
  NPD (past) Authorized official Neurology
• East Tennessee Women'S Care, PC

  • Specialist
  • Knoxville, TN
  • NPI 1457574345
  NPD (past)
• Health Ventures, Inc

  • Primary Care Clinic/Center
  • Knoxville, TN
  • NPI 1558563262
  NPD (past)
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2010.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1124058532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR",
            "address_2": "SUITE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-218-8333",
            "fax_number": "865-218-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR",
            "address_2": "SUITE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-218-8333",
            "fax_number": "865-218-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JACQUELINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TN",
            "license": "MD30506",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD30506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayden Crawford
• Christel Crawford
• Daphne Diane Crawford, LCSW
• Elizabeth Crawford, LCSW
• Hanna Gayle Crawford, NP
• Jennifer Marie Crawford
• John Jay Crawford, M.D.
• Kathryn Crawford, APRN
• Kayla Sikarng Crawford
• Mariel Crawford

• All providers in Knoxville, TN
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.