Crossroads Health & Wellness Center

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CROSSROADS HEALTH & WELLNESS CENTER

Practice address

5960 Beach Blvd Ste 3
Jacksonville, FL 32207-5113

Phone

(904) 358-1211

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Marianna Dowell

Title

Assessment Counselor

Phone

(904) 701-0229

Specialties & licenses 5

Addresses

Other names 1

• Crossroads Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1407520554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 BEACH BLVD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 BEACH BLVD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075113",
            "telephone_number": "904-358-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "ASSESSMENT COUNSELOR",
        "authorized_official_telephone_number": "904-701-0229"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Jean Crossen, ARNP
• Amber Michelle Crossley, ARNP
• Emily Laura Crossman, MD
• Crossroads Behavioral Health Services, LLC
• Crossroads Behavioral Health Services, LLC
• Crossroads Health Systems LLC
• Mary Crotty
• Everett Cornish Crouch Jr., D.D.S.
• Stacy Crouch
• Brittany Estelle Crowder

• Primary Care Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.