Individual provider Active NPI

Crystal E Sanfilippo, APRN-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1184359135
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31986 Issued in TN
Practice address
5530 Eulala Dr
Nashville, TN 37211-6145
Phone
(615) 988-2340
NPI assigned
Jul 22, 2022
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31986 TN Primary

Addresses

Primary practice location

5530 Eulala Dr
Nashville, TN 37211-6145

Mailing address

9224 Prestmoor PL
Brentwood, TN 37027-7491
Phone (931) 787-5632

Other practice location 1

590 Benzing Rd
Antioch, TN 37013-4139
Phone (615) 988-2340

Other practice location 2

9224 Prestmoor Pl
Brentwood, TN 37027-7491
Phone (931) 787-5632

Other names 1

  • Crystal E Rhoads Other name

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
I20240313002857 TN Practitioner - Nurse Practitioner 3274979117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31986TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Family CurrentSince Mar 1, 2024 Accepting new patients
Iris Wound Care, PC Past Accepting new patients
Nashville Pediatric Providers, LLC PastSince Jul 28, 2024 Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

Organizations & group practices 3

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1184359135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 PRESTMOOR PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277491",
            "telephone_number": "931-787-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 EULALA DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116145",
            "telephone_number": "615-988-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Benzing Rd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370134139",
            "country_code": "US",
            "telephone_number": "615-988-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9224 Prestmoor Pl",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277491",
            "country_code": "US",
            "telephone_number": "931-787-5632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "CRYSTAL",
        "middle_name": "E",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "RHOADS",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.