Active NPI
Nikoah Rechelle Crowe, CCMA
- Community Health Worker
- Knoxville, TN
National Provider Identifier
1467905323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- M7P4J5F56
- Practice address
- 140 Dameron Ave
Knoxville, TN 37917-6413 - Phone
- (865) 215-5320
- Fax
- (865) 215-5310
- NPI assigned
- Jul 27, 2016
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | M7P4J5F56 | TN | Primary |
Addresses
Primary practice location
140 Dameron Ave
Knoxville, TN 37917-6413
Mailing address
140 Dameron Ave
Knoxville, TN 37917-6413
Phone (865) 215-5320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7P4J5F56 | TN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1467905323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 DAMERON AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379176413",
"telephone_number": "865-215-5320",
"fax_number": "865-215-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 DAMERON AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379176413",
"telephone_number": "865-215-5320",
"fax_number": "865-215-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "NIKOAH",
"middle_name": "RECHELLE",
"credential": "CCMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TN",
"license": "M7P4J5F56",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.