Active NPI
Connie G Crosslin, FNP
- Family Nurse Practitioner
- Smyrna, TN
National Provider Identifier
1558461293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000008483
- Practice address
- 515 Stonecrest Pkwy
Suite 100
Smyrna, TN 37167-6826 - Phone
- (615) 223-7227
- Fax
- (615) 425-2100
- NPI assigned
- Sep 23, 2006
- Last updated
- Jun 20, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000008483 | TN | Primary |
Addresses
Primary practice location
515 Stonecrest Pkwy
Suite 100
Smyrna, TN 37167-6826
Mailing address
1195 Old Hickory Blvd
Suite 103
Brentwood, TN 37027-4239
Phone (615) 373-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3929841 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000008483 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Past | Accepting new patients | |
| Tennessee Urgent Care Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1548258825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1558461293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 OLD HICKORY BLVD",
"address_2": "SUITE 103",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274239",
"telephone_number": "615-373-2000",
"fax_number": "615-425-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 STONECREST PKWY",
"address_2": "SUITE 100",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676826",
"telephone_number": "615-223-7227",
"fax_number": "615-425-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLIN",
"first_name": "CONNIE",
"middle_name": "G",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000008483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3929841",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.