NPIMap

Individual provider Active NPI

Jennifer L. St. Croix, MD

  • Emergency Medicine Physician
  • Arlington, TN
National Provider Identifier
1528027489
Registry record updated Aug 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000044753 Issued in TN
Practice address
2799 Virginia Woods PL
Arlington, TN 38002-6113
Phone
(901) 413-5992
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063263AINMDEmergency Medicine Physician
MD0000044753TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Physician Group LLC Past Accepting new patients
Phoenix Emergency Services of Scott County LLC Emergency Medicine Past Accepting new patients
Peony Emergency Physicians Emergency Medicine Past Accepting new patients
Scott Memorial Hospital Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47465 WI
Emergency Medicine Physician 207P00000X 47465 WI
Emergency Medicine Physician 207P00000X 01063263A IN
Family Medicine Physician 207Q00000X 01063263A IN
Emergency Medicine Physician 207P00000X MD0000044753 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

2799 Virginia Woods PL
Arlington, TN 38002-6113

Mailing address

2799 Virginia Woods PL
Arlington, TN 38002-6113
Phone (901) 413-5992

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2013.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377302400000",
    "number": "1528027489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 VIRGINIA WOODS PL",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380026113",
            "telephone_number": "901-413-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 VIRGINIA WOODS PL",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380026113",
            "telephone_number": "901-413-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CROIX",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47465",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "47465",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01063263A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01063263A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000044753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.