Individual provider Active NPI

Clarissa Givens Crunk, NP

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1356581086
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN0000013974 Issued in TN
Practice address
2500 Charlotte Ave
Nashville, TN 37209-4129
Phone
(615) 340-5607
Fax
(615) 340-8542
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN0000013974 TN Primary

Addresses

Primary practice location

2500 Charlotte Ave
Nashville, TN 37209-4129

Mailing address

3887 Raleigh Elam Rd
Santa Fe, TN 38482-3081
Phone (615) 598-4813

Other practice location 1

808 Jenland Dr
Columbia, TN 38401-1801
Phone (931) 381-3030

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000013974TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle TN Womens Health Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clarissa.crunk@tna041.digichart.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1356581086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 RALEIGH ELAM RD",
            "city": "SANTA FE",
            "state": "TN",
            "postal_code": "384823081",
            "telephone_number": "615-598-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094129",
            "telephone_number": "615-340-5607",
            "fax_number": "615-340-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Jenland Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384011801",
            "country_code": "US",
            "telephone_number": "931-381-3030",
            "fax_number": "931-381-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUNK",
        "first_name": "CLARISSA",
        "middle_name": "GIVENS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "APN0000013974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.