Crossroads Family Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CROSSROADS FAMILY CLINIC, LLC

Practice address

75 County Road 576
Rogersville, AL 35652

Phone

(256) 443-3171

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Tennell Garrett, CRNPNPI 1316144264

Title

Provider/Owner

Phone

(256) 443-3171

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Tennell Garrett, CRNP

  • Nurse Practitioner
  • Killen, AL
  • NPI 1316144264
  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Casson

  • Adult Health Nurse Practitioner
  • Killen, AL
  • NPI 1164873717
  Medicare reassignment Care Compare group NPD
• Malea Robinson

  • Family Nurse Practitioner
  • Decatur, AL
  • NPI 1144703430

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1538737010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COUNTY ROAD 576",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-443-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COUNTY ROAD 576",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-443-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "TENNELL",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "256-443-3171",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexsis Shea Casteel, LICSW
• Clayton Chapin, DPT
• Charles Anthony Gaputis
• Community Health, Inc.
• Crossroads Family Clinic
• Gerald Cunningham, D.C.
• Amanda Tucker Davis, PHARMD
• Miranda Beth Whitsett Davis, PHARMD.
• Dental Associates of Rogersville, LLC
• Drayer Physical Therapy-Alabama, LLC

• Family Nurse Practitioner in Rogersville, AL
• Providers in Rogersville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.