Crossroads Health & Cosmetic Center PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71002933A Issued in IN

Legal business name

CROSSROADS HEALTH & COSMETIC CENTER PC

Practice address

21764 Omega CT
Goshen, IN 46528-7809

Phone

(574) 891-4920

Fax

(574) 891-4902

NPI assigned

Nov 7, 2015

Last updated

Sep 9, 2019By 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

Joanna Roth, ACNP-BC, FNP-CNPI 1194975466

Title

Nurse Practitioner

Phone

(574) 891-4920

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Joanna Belle Roth, M.S., A.C.N.P.-B.C.

  • Nurse Practitioner
  • Goshen, IN
  • NPI 1194975466
  NPD Authorized official
• Sarah Suzanne Bortone, FNP-BC

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1740520717
  NPD (past)
• Alexis Selvesyuk

  • Family Nurse Practitioner
  • Goshen, IN
  • NPI 1760200380
  NPD (past)
• Ginger Renee Wade, APRN

  • Family Nurse Practitioner
  • Goshen, IN
  • NPI 1649811464
  NPD (past)

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1700259173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21764 OMEGA CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287809",
            "telephone_number": "574-891-4920",
            "fax_number": "574-891-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21764 OMEGA CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287809",
            "telephone_number": "574-891-4920",
            "fax_number": "574-891-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALTH & COSMETIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-07",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "574-891-4920",
        "authorized_official_credential": "ACNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002933A",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71002933A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71002933A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia S Creighton, OTR
• Alyssa Danielle Cripe, FNP-C
• David Lyle Cripe, O.D.
• Stephanie Lynn Cross, NP
• Crossroads Healing Arts LLC
• Crossroads Pediatric Dentistry PC
• Crossroads Therapy Practice LLC
• Cara Culp
• Judy M. Culp
• Malinda Curtis

• Nurse Practitioner in Goshen, IN
• Providers in Goshen, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.