Active NPI
Clarissa Givens Crunk, NP
- Women's Health Nurse Practitioner
- Nashville, TN
National Provider Identifier
1356581086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APN0000013974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000013974 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle TN Womens Health Group | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Columbia, TN
- NPI 1205982329
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.