Active NPI
Lee R Crowe, M.D.
- Nephrology Physician
- Cookeville, TN
National Provider Identifier
1629062740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 7522
- Practice address
- 145 W 4TH St
Suite 201
Cookeville, TN 38501-2447 - Phone
- (931) 783-2902
- Fax
- (931) 783-2219
- NPI assigned
- Sep 2, 2005
- Last updated
- May 15, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 7522 | TN | Primary |
Addresses
Primary practice location
145 W 4TH St
Suite 201
Cookeville, TN 38501-2447
Mailing address
127 N Oak Ave
Suite D
Cookeville, TN 38501-2435
Phone (931) 783-5857
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64915390 | Medicaid | KY | |
| 4212675 | Other | TN | BCBS |
| 1511176 | 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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7522 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Past | Accepting new patients | |
| Medical Specialists of Cookeville, PLLC | Nephrology | 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 Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Nephrology Physician
- Cookeville, TN
- NPI 1912984196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1629062740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N OAK AVE",
"address_2": "SUITE D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012435",
"telephone_number": "931-783-5857",
"fax_number": "931-526-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 4TH ST",
"address_2": "SUITE 201",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012447",
"telephone_number": "931-783-2902",
"fax_number": "931-783-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "LEE",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "7522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64915390",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4212675",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511176",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
- Bradley Leston Cross, PHARM.D.
- Jacob Cross
- Jearl Jerri Cross, ED.S,LPC/MHSP, CPSII
- Crossroads Urgent Care PLLC (Urgent Team)
- Philip Crowder Jr., MMFT
- Jerry A. Crump, C.R.N.F.A.
- Rad Maxey Cuebas, RN
- Rebecca Culver, LMSW
- Cumberland Addiction & Recovery Program, PLLC
- Cumberland Back Pain Clinic PC (McMinnville Pain Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.