Joan Colette D'Cruz, APRN, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12800 Issued in TN

Practice address

1536 Bridgewater LN Ste 103
Kingsport, TN 37660-4103

Phone

(423) 245-2406

Fax

(423) 245-2404

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kingsport Psychiatric ServicesGroup PAC ID 4789925272, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

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.

• Kingsport Psychiatric Services

  • Psychiatry Physician
  • Kingsport, TN
  • NPI 1568929818
  Medicare reassignment Care Compare group NPD
• Kingsport Psychiatry & Counseling Services, PLLC

  • Psychiatry Physician
  • Kingsport, TN
  • NPI 1790176667
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1558569426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 BRIDGEWATER LN STE 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604103",
            "telephone_number": "423-245-2406",
            "fax_number": "423-245-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 BRIDGEWATER LN STE 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604103",
            "telephone_number": "423-245-2406",
            "fax_number": "423-245-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'CRUZ",
        "first_name": "JOAN",
        "middle_name": "COLETTE",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "12800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lee Cureton, DMD MS
• Lauren Ernst Curry, APRN, FNP-C
• Custom Orthotics & Prosthetics
• Cynthia Poortenga, MD PC
• Joann W. D'Aprile-Lubrano, D.O.
• Amirah Hasan Daher, MD
• Kayla Marie Dahley, D.O.
• Danielle Dahlin, RD
• Lauren Ambrosia Daley, NP
• Leslie Ellen Danehy, BA

• Psychiatric/Mental Health Nurse Practitioner in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.