Susanna Rae Crouch, APRN-BC, FNP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

13252 Issued in TN

Practice address

2341 McCallie Avenue. Plaza 3, Ste. 406.
Gastroenterology Associates of Chattanooga, PC
Chattanooga, TN 37404-3229

Phone

(423) 648-8204

Fax

(423) 493-1908

NPI assigned

Jun 12, 2008

Last updated

Sep 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://f5f73dd6-507b-49fa-91fd-a2c1482eb946.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Gastroenterology Associates of Chattanooga, PC

  • Specialist
  • Chattanooga, TN
  • NPI 1568599793
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1376703405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVENUE. PLAZA 3, STE. 406",
            "address_2": "GASTROENTEROLOGY ASSOCIATES OF CHATTANOOGA, PC",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043229",
            "telephone_number": "423-648-8204",
            "fax_number": "423-493-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVENUE. PLAZA 3, STE. 406.",
            "address_2": "GASTROENTEROLOGY ASSOCIATES OF CHATTANOOGA, PC",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043229",
            "telephone_number": "423-648-8204",
            "fax_number": "423-493-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "SUSANNA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13252APNFNP",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "13252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I503608",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Gayle Cross, R.N.
• Alexander Timothy Crossett, MD
• Crossroads Urgent Care PLLC (Urgent Team)
• Crossroads Urgent Care, PLLC (Physicians Care - Hwy 58)
• Crossroads Urgent Care, PLLC (Physicians Care - NorthShore)
• Derek Logan Crouthers, MD
• Tabitha Crow
• Joshua Eric Crowder, O.D.
• Noel Kristen Crowder, OTD
• Andrew S Crowe, PHARM.D.

• Gastroenterology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.