Organization Active NPI

Cross Roads Medical Clinic

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1659439339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3260402 Issued in FL
Legal business name
CROSS ROADS MEDICAL CLINIC
Practice address
9013 Mahan Dr Ste 201
Tallahassee, FL 32309-1474
Phone
(850) 325-6334
Fax
(850) 942-6322
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Browne, ARNPNPI 1730291428
Title
Managing Partner
Phone
(850) 325-6334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3260402 FL Primary

Addresses

Primary practice location

9013 Mahan Dr Ste 201
Tallahassee, FL 32309-1474

Mailing address

9013 Mahan Dr Ste 201
Tallahassee, FL 32309-1474
Phone (850) 325-6334

National Provider Directory

National Provider Directory

Locations

9013 Mahan Dr
Ste 201
Tallahassee, FL 32309
Phone (850) 325-6334

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659439339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 MAHAN DR STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323091474",
            "telephone_number": "850-325-6334",
            "fax_number": "850-942-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 MAHAN DR STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323091474",
            "telephone_number": "850-325-6334",
            "fax_number": "850-942-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS ROADS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "850-325-6334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3260402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.