Individual provider Active NPI

Carlotta M. G. Crawford, CNM

  • Advanced Practice Midwife
  • Nashville, TN
National Provider Identifier
1255534046
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN0000005719 Issued in TN
Practice address
404 Dr DB Todd Jr Blvd
Suite 200
Nashville, TN 37203-2896
Phone
(615) 291-9923
Fax
(615) 678-6470
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN0000005719 TN Primary

Addresses

Primary practice location

404 Dr DB Todd Jr Blvd
Suite 200
Nashville, TN 37203-2896

Mailing address

404 Dr DB Todd Jr Blvd
Suite 200
Nashville, TN 37203-2896
Phone (615) 291-9923

Other identifiers 1

IdentifierTypeStateIssuer
3661295MedicaidTN

Other names 1

  • Ms. Carlotta M. G. Shanks Former 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913001085 TN Practitioner - Certified Nurse Midwife (CNM) 3870618960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN0000005719TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Family Health Care, LLC CurrentSince Sep 1, 2009 Accepting new patients
Physician Services of Middle Tennessee, LLC Past Accepting new patients

Locations

607 W Due West Ave
Ste 97
Madison, TN 37115
Phone (615) 291-9923

404 Dr Db Todd Jr Blvd
Ste 200
Nashville, TN 37203
Phone (615) 291-9923

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1255534046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 DR DB TODD JR BLVD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032896",
            "telephone_number": "615-291-9923",
            "fax_number": "615-678-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 DR DB TODD JR BLVD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032896",
            "telephone_number": "615-291-9923",
            "fax_number": "615-678-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CARLOTTA",
        "middle_name": "M. G.",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN0000005719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3661295",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOTTA",
            "last_name": "SHANKS",
            "middle_name": "M. G.",
            "prefix": "MS.",
            "credential": "CNM, MN, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.