Active NPI
Brooke Alyssa Crossen, MS
- Clinical Exercise Physiologist
- Madison, WI
National Provider Identifier
1386256246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 2501 W Beltline Hwy Ste 207
Madison, WI 53713-2321 - Phone
- (608) 417-7305
- NPI assigned
- Aug 20, 2020
- 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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | WI | Primary |
Addresses
Primary practice location
2501 W Beltline Hwy Ste 207
Madison, WI 53713-2321
Mailing address
2315 Tulare St
Fitchburg, WI 53711-5672
Phone (608) 957-4134
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1386256246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 TULARE ST",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115672",
"telephone_number": "608-957-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W BELTLINE HWY STE 207",
"city": "MADISON",
"state": "WI",
"postal_code": "537132321",
"telephone_number": "608-417-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSEN",
"first_name": "BROOKE",
"middle_name": "ALYSSA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.