Active NPI
Crystal Lynn Greenwood, MED
- Counselor
- Cookeville, TN
National Provider Identifier
1396073771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 301 S Lowe Avenue
Suite 11
Cookeville, TN 38501 - Phone
- (931) 520-4270
- Fax
- (931) 520-4275
- NPI assigned
- Nov 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
301 S Lowe Avenue
Suite 11
Cookeville, TN 38501
Mailing address
301 S Lowe Avenue
Suite 11
Cookeville, TN 38501
Phone (931) 520-4270
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 Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1396073771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S LOWE AVENUE",
"address_2": "SUITE 11",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-520-4270",
"fax_number": "931-520-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S LOWE AVENUE",
"address_2": "SUITE 11",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-520-4270",
"fax_number": "931-520-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.