Individual provider Active NPI

Crystalle Griffith, ACAGNP-BC

  • Acute Care Nurse Practitioner
  • Oneida, TN
National Provider Identifier
1134085202
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
40638 Issued in TN
Practice address
18797 Alberta St
Oneida, TN 37841-2127
Phone
(423) 286-5390
Fax
(423) 286-5309
NPI assigned
Jan 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 40638 TN Primary

Addresses

Primary practice location

18797 Alberta St
Oneida, TN 37841-2127

Mailing address

321 Hatfield Cir
Oneida, TN 37841-3541
Phone (423) 701-0071

Other practice location 1

100 S Duncan St
Jamestown, TN 38556-3009
Phone (931) 879-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317001253 TN Practitioner - Nurse Practitioner 5991288037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott County Community Hospital IncGroup PAC ID 3375829112, 15 clinicians

Practice addresses (Care Compare)

18797 Alberta St
Oneida, TN 37841-2127
Phone 42356985215307

Hospital & facility affiliations

  • Big South Fork Medical Center Hospital, Oneida, TN, CCN 441323
  • Big South Fork Medical Center Nursing home, CCN 44Z323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
40638TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Community Hospital, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Scott County Community Hospital, Inc. Past Accepting new patients

Locations

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1767225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1134085202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HATFIELD CIR",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413541",
            "telephone_number": "423-701-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18797 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412127",
            "telephone_number": "423-286-5390",
            "fax_number": "423-286-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Duncan St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "TN",
            "postal_code": "385563009",
            "country_code": "US",
            "telephone_number": "931-879-5864",
            "fax_number": "931-879-3903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CRYSTALLE",
        "credential": "ACAGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-01",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "40638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.