Individual provider Active NPI

Rita Crews, MHSA, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1154302164
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3698 Issued in TN
Practice address
400 Goodys LN Ste 101
Knoxville, TN 37922-1900
Phone
(865) 288-8320
Fax
(865) 288-5903
NPI assigned
Nov 7, 2005
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 2349 FL
Physician Assistant 363A00000X 3698 TN Primary

Addresses

Primary practice location

400 Goodys LN Ste 101
Knoxville, TN 37922-1900

Mailing address

129 Bradshaw Hollow Rd
Rockwood, TN 37854-4629
Phone (865) 348-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 2349FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Crews, DO, PA Current Accepting new patients

Locations

8135 Centralia Ct
Ste 101
Leesburg, FL 34788
Phone (352) 360-0654

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1154302164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BRADSHAW HOLLOW RD",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "378544629",
            "telephone_number": "865-348-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GOODYS LN STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221900",
            "telephone_number": "865-288-8320",
            "fax_number": "865-288-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "MHSA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 2349",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.