Individual provider Active NPI

Christine Lee Crooms, FNP-C

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1437617024
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001565 Issued in FL
Practice address
1843 Fiddler CT
Tallahassee, FL 32308
Phone
(850) 878-5500
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001565 FL Primary

Addresses

Primary practice location

1843 Fiddler CT
Tallahassee, FL 32308

Mailing address

1843 Fiddler CT
Tallahassee, FL 32308-4450
Phone (850) 878-5500

Other practice location 1

3179 Nathaniel Trce
Tallahassee, FL 32311-5705
Phone (305) 304-5606

Other practice location 2

3179 Nathaniel Trce
Tallahassee, FL 32311-5705
Phone (305) 304-5606

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

LicenseStateTypeSpecialty
APRN11001565FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Medical Group, PLLC Current Accepting new patients

Locations

1843 Fiddler Ct
Tallahassee, FL 32308
Phone (850) 878-5500

Interoperability endpoints

  • Direct secure messaging: christinecrooms@telmedgrp.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1437617024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 FIDDLER CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084450",
            "telephone_number": "850-878-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 FIDDLER CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-878-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3179 Nathaniel Trce",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323115705",
            "country_code": "US",
            "telephone_number": "305-304-5606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3179 Nathaniel Trce",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323115705",
            "country_code": "US",
            "telephone_number": "305-304-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOMS",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.